Organization Active NPI

Rockwood Counseling Center, LLC

  • Professional Counselor
  • Eureka, MO
National Provider Identifier
1235305533
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CS002441 Issued in MO
Legal business name
ROCKWOOD COUNSELING CENTER, LLC
Practice address
700 Niehoff Dr
Suite B
Eureka, MO 63025-2166
Phone
(636) 938-9192
Fax
(636) 938-5642
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Mrs. Jody Joanne Amberg, LPC, NCCNPI 1548330699
Title
License Professional Counselor
Phone
(636) 938-9192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X CS002441 MO Primary

Addresses

Primary practice location

700 Niehoff Dr
Suite B
Eureka, MO 63025-2166

Mailing address

700 Niehoff Dr
Suite B
Eureka, MO 63025-2166
Phone (636) 938-9192

Other identifiers 8

IdentifierTypeStateIssuer
336404OtherMOVALUE OPTIONS
282452OtherMOMHN
486600OtherMOHEALTHLINK (NON PAR)
113783OtherMOBLUE CROSS / BLUE SHIELD
140673OtherMOCMR
213958000OtherMOMAGELLAN
492625034AMBOtherMOMERCY HEALTH PLAN
6298062OtherMOUNITED HEALTHCARE (UNITED BEHAVIORAL HEALTH)

National Provider Directory

National Provider Directory

Locations

700 Niehoff Dr
Ste B
Eureka, MO 63025
Phone (636) 938-9192

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1235305533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NIEHOFF DR",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252166",
            "telephone_number": "636-938-9192",
            "fax_number": "636-938-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NIEHOFF DR",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252166",
            "telephone_number": "636-938-9192",
            "fax_number": "636-938-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "AMBERG",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "636-938-9192",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "CS002441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "336404",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "282452",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK (NON PAR)",
            "identifier": "486600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "113783",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR",
            "identifier": "140673",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "213958000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "492625034AMB",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE (UNITED BEHAVIORAL HEALTH)",
            "identifier": "6298062",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.