Julie Loree Baxter Bennett, M.S.; LPC
Individual provider Active NPI Professional Counselor · Nixa, MO
NPI 1013336049 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1013336049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2012007307 (MO)
- Practice address
- 380 E. Hwy CC
A105
Nixa, MO 65714 - Phone
- (417) 725-8810
- Fax
- (417) 725-6202
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012007307 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CC Counseling Services,LLC | Professional | Past | Accepting new patients |
| Barbara K. Hylton | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2012007307 | MO | Yes |
Addresses
Primary practice location
380 E. Hwy CC
A105
Nixa, MO 65714
Mailing address
380 E. Hwy CC
A105
Nixa, MO 65714
Phone (417) 725-8810
Other providers in Nixa, MO
- Kevin R Austin
- Michelle Lee Balek
- Barbara K. Hylton
- Robert Wayne Barnett
- Brendan D Beckley
- Sharon Bennett
- Elizabeth Betebenner
- John Paul Billingsley
- Leslie L Binder
- Julie Ann Blackford
All providers in Nixa, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.