Bethany Michelle Nunnelly, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021017847 Issued in MO

Practice address

601 W Nifong Blvd Ste 1D
Columbia, MO 65203-6804

Phone

(573) 228-6702

Fax

(573) 228-6703

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1083336903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-228-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-228-6702",
            "fax_number": "573-228-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNELLY",
        "first_name": "BETHANY",
        "middle_name": "MICHELLE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021017847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Nowakowski, MD
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• Rebecca Ann Nowlin, M.ED.
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• Chidimma Nwike
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• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.