Active NPI
Charie Ann Sands, PLPC
- Counselor
- Nevada, MO
National Provider Identifier
1033675376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2019004030
- Practice address
- 210 S Elm St
Nevada, MO 64772-3413 - Phone
- (417) 682-5757
- Fax
- (417) 682-5757
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 000245 | MO | |
| Counselor | 101Y00000X | 2019004030 | MO | Primary |
Addresses
Primary practice location
210 S Elm St
Nevada, MO 64772-3413
Mailing address
1107 Broadway St
Lamar, MO 64759-1758
Phone (417) 682-5757
Other practice location 1
815 S Ash St
Nevada, MO 64772-3222
Phone (816) 380-4010
Other names 1
- Charie Ann Walker
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | allied@keinet.net | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019004030 | MO | MD | Counselor |
| 000245 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Mental Health Consultants LLC | Current | Accepting new patients | |
| Full Health Wellness Systems | Past | Accepting new patients | |
| Allied Mental Health Associates, Inc. | Past | Accepting new patients |
Locations
1107 Broadway St
Lamar, MO 64759
Phone (417) 682-5757
210 S Elm St
Nevada, MO 64772
Phone (417) 283-2072
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Lamar, MO
- NPI 1548596109
-
- Professional Counselor
- Nevada, MO
- NPI 1144205527
-
- Adult Mental Health Clinic/Center
- Nevada, MO
- NPI 1942865878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1033675376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 BROADWAY ST",
"city": "LAMAR",
"state": "MO",
"postal_code": "647591758",
"telephone_number": "417-682-5757",
"fax_number": "417-682-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S ELM ST",
"city": "NEVADA",
"state": "MO",
"postal_code": "647723413",
"telephone_number": "417-682-5757",
"fax_number": "417-682-5757"
}
],
"practiceLocations": [
{
"address_1": "815 S Ash St",
"address_purpose": "LOCATION",
"city": "Nevada",
"state": "MO",
"postal_code": "647723222",
"country_code": "US",
"telephone_number": "816-380-4010",
"fax_number": "816-887-5703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDS",
"first_name": "CHARIE",
"middle_name": "ANN",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "000245",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2019004030",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "allied@keinet.net",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "210 S Elm St",
"city": "Nevada",
"state": "MO",
"country_code": "US",
"postal_code": "647723413",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHARIE",
"last_name": "WALKER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nevada, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.