Individual provider Active NPI

Reuben Smith

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1245720465
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3050 S National Ave Ste 104
Springfield, MO 65804-4242
Phone
(175) 974-4572
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3050 S National Ave Ste 104
Springfield, MO 65804-4242

Mailing address

3050 S National Ave Ste 104
Springfield, MO 65804-4242
Phone (175) 974-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501000542 MO Practitioner - Mental Health Counselor 2264872738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Community Health Center IncGroup PAC ID 9931541943, 3 clinicians

Practice addresses (Care Compare)

1232 Branson Hills Pkwy
Suite 104
Branson, MO 65616-4189
Phone (417) 336-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling Center, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Faith Community Health Center, Inc. CurrentSince May 7, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Apr 15, 2024 Accepting new patients

Locations

1232 Branson Hills Pkwy
Ste 104
Branson, MO 65616
Phone (417) 336-9355

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1245720465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044242",
            "telephone_number": "175-974-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 S NATIONAL AVE STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044242",
            "telephone_number": "175-974-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REUBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.