Individual provider Active NPI

George Flenner, MSW LCSW

  • Mental Health Counselor
  • Columbia, MO
National Provider Identifier
1093732422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW 000512 Issued in MO
Practice address
3201 S Providence Rd
Ste 201
Columbia, MO 65203-3622
Phone
(573) 499-3875
Fax
(573) 499-0702
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCSW 000512 MO Primary

Addresses

Primary practice location

3201 S Providence Rd
Ste 201
Columbia, MO 65203-3622

Mailing address

5203 S Cowan Rd
Columbia, MO 65201-9789
Phone (573) 449-7227

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000512MOMDMental Health Counselor
LCSW 000512MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093732422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 S COWAN RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019789",
            "telephone_number": "573-449-7227",
            "fax_number": "573-499-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S PROVIDENCE RD",
            "address_2": "STE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033622",
            "telephone_number": "573-499-3875",
            "fax_number": "573-499-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLENNER",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "LCSW 000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; 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.