Organization Active NPI

Inspiring Relationships Counseling

  • Professional Counselor
  • Advance, MO
National Provider Identifier
1073395570
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INSPIRING RELATIONSHIPS COUNSELING
Practice address
19806 State Highway C
Advance, MO 63730-8352
Phone
(573) 321-8924
NPI assigned
Oct 18, 2023
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Kimberly BackfischNPI 1689292302
Title
LPC/Owner
Phone
(573) 321-8924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

19806 State Highway C
Advance, MO 63730-8352

Mailing address

3403 BCR 725
Zalma, MO 63787-8769
Phone (573) 321-8924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240916002377 MO Part B Supplier - Clinic/Group Practice 7618418864 Receives reassigned benefits from 1 practitioner
Practice locations: Advance, MO

National Provider Directory

National Provider Directory

Locations

105 N Oak St
Ste B
Advance, MO 63730

19806 State Highway C
Advance, MO 63730
Phone (573) 321-8924

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1073395570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 BCR 725",
            "city": "ZALMA",
            "state": "MO",
            "postal_code": "637878769",
            "telephone_number": "573-321-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19806 STATE HIGHWAY C",
            "city": "ADVANCE",
            "state": "MO",
            "postal_code": "637308352",
            "telephone_number": "573-321-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRING RELATIONSHIPS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "BACKFISCH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "573-321-8924"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Advance, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.