FIRESIDE HEALING NPI 1053165522

NPI Information

  • NPI: 1053165522
  • Provider Name: FIRESIDE HEALING
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1335 E REPUBLIC RD STE H
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 730-9858

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NPI Details

FIRESIDE HEALING is a professional counselor in Springfield, MO. FIRESIDE HEALING NPI is 1053165522. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1335 E REPUBLIC RD STE H
SPRINGFIELD, MO
ZIP 65804-220
Phone: (417) 730-9858

The provider's authorized official is Kimberly Staples .
The authorized official title is Cfo and has the following contact phone number (417) 730-9858.

The enumeration date for this NPI number is 4/12/2024 and was last updated on 5/7/2024.

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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalYes
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo

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: 11/21/2025

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