NPIMap

Organization Active NPI

Avenues of Mental Health LLC

  • Mental Health Counselor
  • Lamar, MO
National Provider Identifier
1255033692
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AVENUES OF MENTAL HEALTH LLC
Practice address
Barton County Heath Department
1301 East 12TH Street
Lamar, MO 64759
Phone
(417) 214-3966
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Mrs. Nancy Gayle Jamerson, LCSWNPI 1316921018
Title
Owner
Phone
(417) 214-3966

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

Barton County Heath Department
1301 East 12TH Street
Lamar, MO 64759

Mailing address

1203 E 18TH St
Lamar, MO 64759-2416
Phone (417) 214-3966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230410002344 MO Part B Supplier - Clinic/Group Practice 8527433358 Receives reassigned benefits from 3 practitioners
Practice locations: Lamar, MO

National Provider Directory

National Provider Directory

Locations

221 W 4th St
Ste 1
Carthage, MO 64836
Phone (417) 214-0881

1301 E 12th St
Ste 8
Lamar, MO 64759
Phone (417) 214-3966

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1255033692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E 18TH ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647592416",
            "telephone_number": "417-214-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARTON COUNTY HEATH DEPARTMENT",
            "address_2": "1301 EAST 12TH STREET",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "64759",
            "telephone_number": "417-214-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES OF MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "JAMERSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-214-3966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.