Tri Star Counseling, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1175 Issued in MO

Legal business name

TRI STAR COUNSELING, INC.

Practice address

712 E 32ND St
Ste 1
Joplin, MO 64804-3906

Phone

(417) 781-2868

Fax

(417) 781-1922

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Simon Londe, PH.D.

Title

Director

Phone

(417) 781-2868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164635322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E 32ND ST",
            "address_2": "STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043906",
            "telephone_number": "417-781-2868",
            "fax_number": "417-781-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E 32ND ST",
            "address_2": "STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043906",
            "telephone_number": "417-781-2868",
            "fax_number": "417-781-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STAR COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONDE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-781-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Joplin, MO
• Providers in Joplin, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.