Equip Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2015016664 Issued in MO

Legal business name

EQUIP COUNSELING LLC

Practice address

4423 S Meadowlark Dr
Springfield, MO 65810-1047

Phone

(417) 894-4347

NPI assigned

Jul 3, 2015

Last updated

Jul 3, 2015By 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

Mr. Stephen Kelly Matz

Title

Owner

Phone

(417) 894-4347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1154704534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 S MEADOWLARK DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101047",
            "telephone_number": "417-894-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 S MEADOWLARK DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101047",
            "telephone_number": "417-894-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIP COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "MATZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-894-4347",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2015016664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.