Active NPI
Jonnie Mae Middletonlotte, PH.D
- Professional Counselor
- Springfield, MO
National Provider Identifier
1184813784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007020570
- Practice address
- 1736 E Sunshine St Ste 510
Springfield, MO 65804-1331 - Phone
- (417) 770-3309
- Fax
- (417) 771-5269
- NPI assigned
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2007020570 | MO | |
| Professional Counselor | 101YP2500X | 2007020570 | MO | Primary |
Addresses
Primary practice location
1736 E Sunshine St Ste 510
Springfield, MO 65804-1331
Mailing address
PO Box 841
Springfield, MO 65801-0841
Phone (417) 770-3309
Other practice location 1
1602 Spencer St
Rolla, MO 65401-2445
Phone (573) 426-3718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184813784 | Medicaid | MO |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007020570 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1184813784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658010841",
"telephone_number": "417-770-3309",
"fax_number": "417-771-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 E SUNSHINE ST STE 510",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041331",
"telephone_number": "417-770-3309",
"fax_number": "417-771-5269"
}
],
"practiceLocations": [
{
"address_1": "1602 Spencer St",
"address_purpose": "LOCATION",
"city": "Rolla",
"state": "MO",
"postal_code": "654012445",
"country_code": "US",
"telephone_number": "573-426-3718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDLETONLOTTE",
"first_name": "JONNIE",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "MO",
"license": "2007020570",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007020570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184813784",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.