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SPRING GROVE COUNSELING NPI 1922352012


NPI Information

NPI: 1922352012
Provider Name: SPRING GROVE COUNSELING
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
211 A OSCAR DRIVE
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 635-8299
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SPRING GROVE COUNSELING is a counselor in Jefferson City, MO. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SPRING GROVE COUNSELING NPI is 1922352012. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

211 A OSCAR DRIVE
JEFFERSON CITY, MO
ZIP 65101-167
Phone: (573) 635-8299
Fax: (573) 635-4629

The provider's authorized official is Judy Kaye Wieberg .
The authorized official title is Owner/director and has the following contact phone number (573) 635-8299.

The enumeration date for this NPI number is 10/29/2012 and was last updated on 10/29/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker002100MISSOURINo
2101Y00000XCounselor001621MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1493361109MEDICAIDMISSOURI

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: 11/14/2023

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