Active NPI
Susie Schimpf, MS, LPC
- Mental Health Counselor
- Springfield, MO
National Provider Identifier
1063698264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002236
- Practice address
- 2604 W Republic Rd
Springfield, MO 65807-8632 - Phone
- (417) 823-7913
- Fax
- (417) 823-7914
- NPI assigned
- Jan 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002236 | MO | Primary |
Addresses
Primary practice location
2604 W Republic Rd
Springfield, MO 65807-8632
Mailing address
2604 W Republic Rd
Springfield, MO 65807-8632
Phone (417) 823-7913
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002236 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1063698264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658078632",
"telephone_number": "417-823-7913",
"fax_number": "417-823-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 W REPUBLIC RD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658078632",
"telephone_number": "417-823-7913",
"fax_number": "417-823-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMPF",
"first_name": "SUSIE",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "002236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.