Active NPI
Linda Jean Christian, LPC, CRAADC, CCJP
- Mental Health Counselor
- Springfield, MO
National Provider Identifier
1265560312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2005030618
- Practice address
- 3322 S Campbell Ave Ste P
Springfield, MO 65807-4980 - Phone
- (417) 823-3808
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2983 | MO | |
| Mental Health Counselor | 101YM0800X | 2005030618 | MO | Primary |
Addresses
Primary practice location
3322 S Campbell Ave Ste P
Springfield, MO 65807-4980
Mailing address
852 Rock Rd
Mansfield, MO 65704-8226
Phone (417) 241-3202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2983 | MO | MD | Addiction (Substance Use Disorder) Counselor |
| 2005030618 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & M Recovery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1932504305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1265560312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "852 ROCK RD",
"city": "MANSFIELD",
"state": "MO",
"postal_code": "657048226",
"telephone_number": "417-241-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 S CAMPBELL AVE STE P",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074980",
"telephone_number": "417-823-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "LINDA",
"middle_name": "JEAN",
"credential": "LPC, CRAADC, CCJP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "2983",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2005030618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Christian Health Care of Springfield West Park
- Christian Health Care of Springfield West Park, Inc
- Christian Health Care of Springfield West, Inc.
- Christian Health Care Pharmacy LLC
- La Nyka Arianne Christian, MD
- McCall Christian, DAT, LAT, ATC
- Ashley Kaye Christiansen, PH.D., LP
- Stephen Denney Christiansen, M.D.
- Richard P Christy, MD
- Dalton L Chronister, PLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.