James A Gunn, MA, LPC

Individual provider Active NPI Professional Counselor · Salem, MO

NPI 1033234166 · NPPES record last updated Sep 18, 2017

Key facts

NPI
1033234166
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2007007972 (MO)
Practice address
203 N Grand St
Salem, MO 65560-1344
Phone
(573) 729-4103
Fax
(573) 729-4220
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2007007972MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Counseling LLC Past Accepting new patients
Southeast Missouri Behavioral Health Inc Past
since May 1, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2007007972 MO Yes

Addresses

Primary practice location

203 N Grand St
Salem, MO 65560-1344

Mailing address

203 North Grand Ave
Salem, MO 65560
Phone (573) 729-4130

Other providers in Salem, MO

All providers in Salem, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.