Charlene Kay Atkins

Individual provider Active NPI Professional Counselor · Clinton, MO

NPI 1003075482 · NPPES record last updated Jan 10, 2022

Key facts

NPI
1003075482
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2008013577 (MO)
Practice address
1800 Community
Clinton, MO 64735-8804
Phone
(844) 853-8937
Fax
(660) 429-3773
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10491841

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2008013577 MO Yes

Addresses

Primary practice location

1800 Community
Clinton, MO 64735-8804

Mailing address

1800 Community
Clinton, MO 64735-8804

Other providers in Clinton, MO

All providers in Clinton, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.