Trident Counseling Consulting & Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRIDENT COUNSELING CONSULTING & WELLNESS LLC

Practice address

112 W Broadway St St a
Bolivar, MO 61653

Phone

(417) 631-3246

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Davis, LCSWNPI 1811128309

Title

Owner/Provider

Phone

(417) 631-3246

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Davis, LCSW

  • Social Worker
  • Bolivar, MO
  • NPI 1811128309
  NPD Authorized official
• Deanna Lynn Barklage

  • Social Worker
  • Bolivar, MO
  • NPI 1003611534
  NPD
• Wendy Sue Hampton, LCSW

  • Social Worker
  • Fort Riley, KS
  • NPI 1043344468

  Clinical

  NPD

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1245050186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W BROADWAY ST ST A",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "61653",
            "telephone_number": "417-631-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W BROADWAY ST ST A",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "61653",
            "telephone_number": "417-631-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT COUNSELING CONSULTING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "417-631-3246",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of the Ozarks
• Michele R. Thomazin, RN, FNP-C
• Deborah J Thompson, R.D., L.D.
• Grace Emily Tomlinson, LCSW
• Sandra Kay Tooley, PHARM D
• Justine Erin Troske, MSOT, OTR/L
• Kamila Michelle Truitt, RPH, PHARMD
• Tweedie Chiropractic LLC
• John Telfer Tweedie III, DC
• Nicole Marie Twenter, LPC

• Clinical Social Worker in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.