Individual provider Active NPI

Marilyn S Hillsman, LPC, NCC, EMDR

  • Professional Counselor
  • Blue Springs, MO
National Provider Identifier
1013464478
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015005794 Issued in MO
Practice address
1200 NW South Outer Rd., Suite 302
Blue Springs, MO 64015-3059
Phone
(660) 429-9178
Fax
(877) 558-3505
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015005794 MO Primary

Addresses

Primary practice location

1200 NW South Outer Rd., Suite 302
Blue Springs, MO 64015-3059

Mailing address

1200 NW South Outer Rd., Suite 302
Blue Springs, MO 64015-3059
Phone (660) 429-9178

Other practice location 1

1700 W Main St
Sedalia, MO 65301-3635
Phone (660) 826-5885

Other names 1

  • Marilyn S Hager Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2015005794MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1013464478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD., SUITE 302",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153059",
            "telephone_number": "660-429-9178",
            "fax_number": "877-558-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW SOUTH OUTER RD., SUITE 302",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153059",
            "telephone_number": "660-429-9178",
            "fax_number": "877-558-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Main St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653013635",
            "country_code": "US",
            "telephone_number": "660-826-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLSMAN",
        "first_name": "MARILYN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, EMDR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "HAGER",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.