Ican Consult & Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ICAN CONSULT & COUNSELING CENTER LLC

Practice address

505 N Main St
Charleston, MO 63834-1030

Phone

(573) 262-8515

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tabatha Shankle

Title

Owner

Phone

(573) 262-8515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1114511706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341030",
            "telephone_number": "573-262-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MAIN ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341030",
            "telephone_number": "573-262-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICAN CONSULT & COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "SHANKLE",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-262-8515"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Hahs
• Michael C Hakala, D.O.
• Rachel Hanauer, FNP-BC
• Kelsey Lane Holder, PHARMD
• Justine Horton
• Rachelle Johnson, R.D
• Heidi Jones
• Maradale Karafa, APRN, FNP-C
• Macey Laplant, LCSW
• Logan & Seiler Inc (L & S Pharmacy)

• Clinical Social Worker in Charleston, MO
• Providers in Charleston, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.