Active NPI
Dale A Humphries, LPC
- Professional Counselor
- Cape Girardeau, MO
National Provider Identifier
1275765125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001101
- Practice address
- 937 Broadway St
Suite 305
Cape Girardeau, MO 63701-5493 - Phone
- (573) 334-7995
- Fax
- (573) 335-8610
- NPI assigned
- Aug 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001101 | MO | Primary |
Addresses
Primary practice location
937 Broadway St
Suite 305
Cape Girardeau, MO 63701-5493
Mailing address
937 Broadway St
Suite 305
Cape Girardeau, MO 63701-5493
Phone (573) 334-7995
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 |
|---|---|---|---|
| 001101 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4 Sight Counseling | Professional | Past | Accepting new patients |
| 4-Sight Counseling, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Cape Girardeau, MO
- NPI 1801941455
-
- Community/Behavioral Health Agency
- Cape Girardeau, MO
- NPI 1427347871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1275765125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 BROADWAY ST",
"address_2": "SUITE 305",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015493",
"telephone_number": "573-334-7995",
"fax_number": "573-335-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 BROADWAY ST",
"address_2": "SUITE 305",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015493",
"telephone_number": "573-334-7995",
"fax_number": "573-335-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "DALE",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "001101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.