Patricia Ann Culbertson, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2019043830 Issued in MO

Practice address

12601 Mo-21
De Soto, MO 63020-3315

Phone

(636) 535-7472

Fax

(888) 474-0821

NPI assigned

Feb 9, 2017

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Living Well Counseling, LLC

  • Professional Counselor
  • De Soto, MO
  • NPI 1316701121
  NPD Authorized official

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1124566237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HICKORY LN",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283338",
            "telephone_number": "636-535-7472",
            "fax_number": "888-474-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 MO-21",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630203315",
            "telephone_number": "636-535-7472",
            "fax_number": "888-474-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170A E Gannon Dr",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630282604",
            "country_code": "US",
            "telephone_number": "636-535-7472",
            "fax_number": "888-474-0821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019043830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey D Carpenter, D.C.
• Chesntut Health Systems, Inc.
• Traci Churchill
• Courtney Ann Cooper, PTA
• Steven Crawford, DO
• Gennadiy Dameshek, O.D.
• De Soto Drug Co Inc (Medicine Shoppe 1376)
• De Soto Eye Care LLC
• De Soto Public Schools
• Hattie Debord, FNP

• Professional Counselor in De Soto, MO
• Providers in De Soto, 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 12, 2024; 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.