Natasha L Corkins, MA, LPC
Individual provider Active NPI Professional Counselor · Marshfield, MO
NPI 1235668252 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1235668252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2017015419 (MO)
- Practice address
- 1350 Spur Dr Ste 230
Marshfield, MO 65706-2196 - Phone
- (417) 761-5900
- Fax
- (417) 859-2645
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231227002754 | MO | Practitioner - Mental Health Counselor | 0042660433 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017015419 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2017015419 | MO | Yes |
Addresses
Primary practice location
1350 Spur Dr Ste 230
Marshfield, MO 65706-2196
Mailing address
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 761-5000
Other practice location 1
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Phone (417) 761-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490043105 | Medicaid | MO |
Other providers in Marshfield, MO
- Carrie Carr, LLC
- Jordan Carroll
- Jennifer Catron
- Christine Coleman-Sandwell
- Judith Anne Combs
- Kala Coyle
- Currier Family Eyecare OD PC
- Daugherty Pharmacies LLC
- Daugherty Pharmacies, LLC
- Joseph Thomas Daugherty
All providers in Marshfield, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.