Organization Active NPI

Dragonfly Enterprises Inc

Doing business as Center for Professional Counseling & Consultation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MO
National Provider Identifier
1003332719
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DRAGONFLY ENTERPRISES INC
Doing business as
Center for Professional Counseling & Consultation
Practice address
200 Old Highway 63 S Ste 101
Columbia, MO 65201-6081
Phone
(573) 355-1766
NPI assigned
Aug 15, 2017
Last updated
Aug 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristie Loveall Johnson, LPC
Title
Owner
Phone
(573) 355-1765

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

200 Old Highway 63 S Ste 101
Columbia, MO 65201-6081

Mailing address

1703 Tidewater Dr
Columbia, MO 65202-6423
Phone (573) 289-7526

Other names 1

  • Center for Professional Counseling & Consultation Doing business as

National Provider Directory

National Provider Directory

Locations

200 Old Highway 63 S
Ste 101
Columbia, MO 65201
Phone (573) 355-1766

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1003332719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TIDEWATER DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026423",
            "telephone_number": "573-289-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD HIGHWAY 63 S STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016081",
            "telephone_number": "573-355-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "LOVEALL JOHNSON",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-355-1765",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Professional Counseling & Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.