SUZANNE MARIE BOSS LPC NPI 1457499402

NPI Information

NPI: 1457499402
Provider Name: SUZANNE MARIE BOSS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
7115 E SAINT CHARLES RD
COLUMBIA, MO
ZIP 65202
Phone: (573) 884-6851
Get Directions

Suzanne Marie Boss, LPC is a professional counselor in Columbia, MO. Suzanne Marie Boss, LPC NPI is 1457499402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7115 E SAINT CHARLES RD
COLUMBIA, MO
ZIP 65202-196
Phone: (573) 884-6851
Fax: (573) 884-0293

The NPI 1457499402 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2006033518	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	497228007	MEDICAID	MISSOURI
2	2006033518	OTHER	MISSOURI	PROVISIONAL LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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