Active NPI
Sue Ann Brown, LPC
- Counselor
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 002295
- Practice address
- 3850 S National Ave
Springfield, MO 65807-5287 - Phone
- (417) 269-6891
- Fax
- (417) 269-5595
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 002295 | MO | Primary |
Addresses
Primary practice location
3850 S National Ave
Springfield, MO 65807-5287
Mailing address
1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-3465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132147 | Other | MO | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1864 S Kentwood Ave
Springfield, MO 65804-2323
Phone (417) 869-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Gateway Counseling Center, Inc. | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Counselor | Current | Accepting new patients |
Locations
1864 S Kentwood Ave
Springfield, MO 65804
Phone (417) 869-8400
1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583
3525 S National Ave
Ste 206
Springfield, MO 65807
Phone (417) 269-9200
Organizations & group practices 4
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.
-
- Psychologist
- Springfield, MO
- NPI 1962632489
-
- Psychiatry Physician
- Springfield, MO
- NPI 1073905915
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
- NPI 1356068605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144356155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 N JEFFERSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658021917",
"telephone_number": "417-269-3465",
"fax_number": "417-269-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075287",
"telephone_number": "417-269-6891",
"fax_number": "417-269-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SUE",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "002295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "132147",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.