Individual provider Active NPI

A'Kaysion Soper

  • Counselor
  • Columbia, MO
National Provider Identifier
1053198713
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
Y048131002 Issued in MO
Practice address
601 E Broadway Ste 304
Columbia, MO 65201-4469
Phone
(573) 825-0672
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Y048131002 MO Primary

Addresses

Primary practice location

601 E Broadway Ste 304
Columbia, MO 65201-4469

Mailing address

601 E Broadway Ste 304
Columbia, MO 65201-4469

Other names 1

  • A'Kaysion Dade 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
Y048131002MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Woods, LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

601 E Broadway
Ste 304
Columbia, MO 65201
Phone (573) 825-0672

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1053198713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E BROADWAY STE 304",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E BROADWAY STE 304",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014469",
            "telephone_number": "573-825-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPER",
        "first_name": "A'KAYSION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "Y048131002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A'KAYSION",
            "last_name": "DADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.