Individual provider Active NPI

Randee Shenkel

  • Counseling Psychologist
  • Columbia, MO
National Provider Identifier
1013177708
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2007000381 Issued in MO
Practice address
2804 Forum Blvd Ste 4
Columbia, MO 65203-6322
Phone
(573) 446-5034
Fax
(573) 446-5046
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2007000381 MO Primary

Addresses

Primary practice location

2804 Forum Blvd Ste 4
Columbia, MO 65203-6322

Mailing address

2804 Forum Blvd Ste 4
Columbia, MO 65203-6322

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Hub LLC CurrentSince Oct 30, 2024 Accepting new patients

Locations

2804 Forum Blvd
Ste 4
Columbia, MO 65203
Phone (573) 446-5034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1013177708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322",
            "telephone_number": "573-446-5034",
            "fax_number": "573-446-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENKEL",
        "first_name": "RANDEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2007000381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 16, 2008; 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.