Racheal Ward, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3001 Warrior Lane
Family Counseling Center, Inc.
Poplar Bluff, MO 63901

Phone

(573) 686-1200

Fax

(573) 686-1029

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Racheal Clyburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1194131466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 KANELL BLVD",
            "address_2": "FAMILY COUNSELING CENTER, INC.",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-686-1200",
            "fax_number": "573-686-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 WARRIOR LANE",
            "address_2": "FAMILY COUNSELING CENTER, INC.",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-686-1200",
            "fax_number": "573-686-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "RACHEAL",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEAL",
            "last_name": "CLYBURN",
            "credential": "MA, PLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary L Ward, D.O.
• Jacob Neal Ward
• Jaiden Nicole Ward
• Janet Lynn Ward
• Melissa Ward
• Warrior Service Company LLC
• Becky Ann Watson, MD
• Darnell James Webb
• Melissa Webelhuth, PHARMD
• Amber Star Wedge, LPN

• Mental Health Counselor in Poplar Bluff, MO
• Providers in Poplar Bluff, 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 Aug 21, 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.