T-K Ranch Equine Assisted Coaching

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

T-K RANCH EQUINE ASSISTED COACHING

Practice address

17885 Hart Pinkston Rd
Farmington, MO 63640

Phone

(573) 747-9115

Fax

(855) 209-5615

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Stacey Gillette, LCSW

Title

Therapist/Owner

Phone

(573) 747-9115

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Kirkley, LMSW

  • Mental Health Counselor
  • Farmington, MO
  • NPI 1063154490
  NPD
• Kelly Williams

  • Mental Health Counselor
  • Farmington, MO
  • NPI 1891612982
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1093347965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17885 HART PINKSTON RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-747-9115",
            "fax_number": "855-209-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17885 HART PINKSTON RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "63640",
            "telephone_number": "573-747-9115",
            "fax_number": "855-209-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T-K RANCH EQUINE ASSISTED COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "573-747-9115",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgery Center of Farmington, L.L.C.
• Surgery Center of Farmington, LLC
• Ronda Renee Sweeney, MSW
• Lukas Swim, DPT
• Jeffrey Swinarski
• Laura Talley
• Morgan Elizabeth Tedder, LMSW
• John Bryan Teepe, MPT
• David M Tesreau
• The Heart Health Center, PC

• Mental Health Counselor in Farmington, MO
• Providers in Farmington, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.