Organization Active NPI

Dale & Associates

  • Professional Counselor
  • Cape Girardeau, MO
National Provider Identifier
1073012217
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013011401 Issued in MO
Legal business name
DALE & ASSOCIATES
Practice address
2846 Professional CT
Cape Girardeau, MO 63703-5035
Phone
(573) 803-3137
Fax
(573) 803-3137
NPI assigned
Feb 2, 2018
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Robert E Dale, LPC
Title
Propietor
Phone
(573) 803-3137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013011401 MO Primary

Addresses

Primary practice location

2846 Professional CT
Cape Girardeau, MO 63703-5035

Mailing address

2846 Professional CT
Cape Girardeau, MO 63703-5035
Phone (573) 803-3137

Other identifiers 2

IdentifierTypeStateIssuer
1184922189MedicaidMO
1417391129MedicaidMO

National Provider Directory

National Provider Directory

Locations

2846 Professional Ct
Cape Girardeau, MO 63703
Phone (573) 803-3137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1073012217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 PROFESSIONAL CT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035035",
            "telephone_number": "573-803-3137",
            "fax_number": "573-803-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 PROFESSIONAL CT",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035035",
            "telephone_number": "573-803-3137",
            "fax_number": "573-803-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROPIETOR",
        "authorized_official_telephone_number": "573-803-3137",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013011401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184922189",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417391129",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.