Tailored Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2013030909 Issued in MO

Legal business name

TAILORED COUNSELING

Practice address

2915 Jennifer LN
Country Club, MO 64506-1016

Phone

(816) 617-6259

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Jackie D Moser, PLPC

Title

Therapist

Phone

(816) 617-6259

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1235546052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 JENNIFER LN",
            "city": "COUNTRY CLUB",
            "state": "MO",
            "postal_code": "645061016",
            "telephone_number": "816-617-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 JENNIFER LN",
            "city": "COUNTRY CLUB",
            "state": "MO",
            "postal_code": "645061016",
            "telephone_number": "816-617-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "816-617-6259",
        "authorized_official_credential": "PLPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010041726",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013030909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Renee' Powell
• James Dale Schoonover, DC
• Christina Semenchuk, LCSW
• Karley Jo Smith, MA, CF-SLP
• Susan a Vega DO.PC
• Thrive Family Wellness Center, LLC (Thrive Family Chiropractic)
• Susan Vega, DO
• Benjamin J Walker

• Professional Counselor in Country Club, MO
• Providers in Country Club, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.