Organization Active NPI

KM Counseling Services, LLC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1184106635
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013026556 Issued in MO
Legal business name
KM COUNSELING SERVICES, LLC
Practice address
1911 S National Ave Ste 407
Springfield, MO 65804-2213
Phone
(417) 319-1318
NPI assigned
Aug 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Kimberly K Mundt, LPC
Title
Owner/Manager
Phone
(417) 319-1318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2013026556 MO Primary

Addresses

Primary practice location

1911 S National Ave Ste 407
Springfield, MO 65804-2213

Mailing address

3809 W Kay Pointe Blvd
Springfield, MO 65802-6735

National Provider Directory

National Provider Directory

Locations

1911 S National Ave
Ste 407
Springfield, MO 65804
Phone (417) 234-9987

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1184106635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W KAY POINTE BLVD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658026735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE STE 407",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-319-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "MUNDT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "417-319-1318",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013026556",
            "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 Aug 31, 2018; 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.