Individual provider Active NPI

Lauren Gayle Stassel, M.S.,

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1164713566
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2011008127 Issued in MO
Practice address
636 W Republic Rd Ste G100
Springfield, MO 65807-5811
Phone
(417) 862-8282
NPI assigned
Apr 20, 2011
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2011008127 MO Primary

Addresses

Primary practice location

636 W Republic Rd Ste G100
Springfield, MO 65807-5811

Mailing address

1847 S Collinson Ave
Springfield, MO 65804-2314
Phone (417) 459-1089

Other practice location 1

1847 S Collinson Ave
Springfield, MO 65804-2314
Phone (417) 459-1089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2011008127MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Crest Counseling Center, Inc. CurrentSince Dec 5, 2021 Accepting new patients

Locations

636 W Republic Rd
Ste G100
Springfield, MO 65807
Phone (417) 862-8282

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1164713566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 S COLLINSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042314",
            "telephone_number": "417-459-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W REPUBLIC RD STE G100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075811",
            "telephone_number": "417-862-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1847 S Collinson Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042314",
            "country_code": "US",
            "telephone_number": "417-459-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASSEL",
        "first_name": "LAUREN",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011008127",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 2, 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.