Individual provider Active NPI

Lauren Eisleben, M.ED, PLPC

  • Mental Health Counselor
  • Columbia, MO
National Provider Identifier
1093349458
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2002005138 Issued in MO
Practice address
601 W Nifong Blvd Ste 1E
Columbia, MO 65203-6804
Phone
(573) 228-6702
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2002005138 MO Primary

Addresses

Primary practice location

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

Mailing address

601 W Nifong Blvd Ste 1E
Columbia, MO 65203-6804
Phone (573) 228-6702

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eisleben@imfcounseling.com

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 Education

State licenses

LicenseStateTypeSpecialty
2002005138MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Individual Marriage and Family Enrichment LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

601 W Nifong Blvd
Ste 1E
Columbia, MO 65203
Phone (573) 228-6702

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1093349458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1E",
            "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 1E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-228-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISLEBEN",
        "first_name": "LAUREN",
        "credential": "M.ED, PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2002005138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eisleben@imfcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "601 W Nifong Blvd Ste 1E",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652036804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.