Individual provider Active NPI

Debra J Niles Bobinger, M.A., LPC

  • Counselor
  • Waynesville, MO
National Provider Identifier
1013993427
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2003010618 Issued in MO
Practice address
1000 Hospital Rd
Waynesville, MO 65583-2634
Phone
(573) 774-5353
Fax
(573) 774-2907
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2003010618 MO Primary

Addresses

Primary practice location

1000 Hospital Rd
Waynesville, MO 65583-2634

Mailing address

PO Box 4067
Waynesville, MO 65583-4067
Phone (573) 774-5353

Other identifiers 1

IdentifierTypeStateIssuer
1013993427MedicaidMO

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2003010618MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodridge of Missouri, Inc. Past Accepting new patients

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1013993427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4067",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655834067",
            "telephone_number": "573-774-5353",
            "fax_number": "573-774-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL RD",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832634",
            "telephone_number": "573-774-5353",
            "fax_number": "573-774-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES BOBINGER",
        "first_name": "DEBRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2003010618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013993427",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.