Individual provider Active NPI

Scott Kuenneke, MS, LPC, BCN

  • Mental Health Counselor
  • Lake Ozark, MO
National Provider Identifier
1215470398
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2014032303 Issued in MO
Practice address
14 Point Cherokee Cir
Lake Ozark, MO 65049-4918
Phone
(314) 749-0912
NPI assigned
Nov 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2014032303 MO Primary

Addresses

Primary practice location

14 Point Cherokee Cir
Lake Ozark, MO 65049-4918

Mailing address

14 Point Cherokee Cir
Lake Ozark, MO 65049-4918
Phone (314) 749-0912

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
2014032303MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1215470398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 POINT CHEROKEE CIR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650494918",
            "telephone_number": "314-749-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 POINT CHEROKEE CIR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650494918",
            "telephone_number": "314-749-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUENNEKE",
        "first_name": "SCOTT",
        "credential": "MS, LPC, BCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2014032303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.