Active NPI
Nicholas A. Fogleman, PLPC
- Professional Counselor
- Joplin, MO
National Provider Identifier
1215254149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2010010773
- Practice address
- 2808 S Picher Ave
Joplin, MO 64804-1645 - Phone
- (417) 347-7700
- Fax
- (417) 347-7729
- NPI assigned
- May 3, 2010
- Last updated
- May 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2010010773 | MO | Primary |
Addresses
Primary practice location
2808 S Picher Ave
Joplin, MO 64804-1645
Mailing address
2808 S Picher Ave
P.O. Box 2526
Joplin, MO 64804-1645
Phone (417) 347-7700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010010773 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272844800000",
"number": "1215254149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 S PICHER AVE",
"address_2": "P.O. BOX 2526",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041645",
"telephone_number": "417-347-7700",
"fax_number": "417-347-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 S PICHER AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041645",
"telephone_number": "417-347-7700",
"fax_number": "417-347-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGLEMAN",
"first_name": "NICHOLAS",
"middle_name": "A.",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2010-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2010010773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.