Tri-County Counseling Center, Incorporated

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004018766 Issued in MO

Legal business name

TRI-COUNTY COUNSELING CENTER, INCORPORATED

Practice address

232 S Neosho Blvd
Suite a
Neosho, MO 64850-1646

Phone

(417) 451-5500

Fax

(417) 455-1322

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda Susan Kurtz, M.S.W., L.C.S.W.

Title

Owner &Therapist

Phone

(417) 451-5500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1285793323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S NEOSHO BLVD",
            "address_2": "SUITE A",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501646",
            "telephone_number": "417-451-5500",
            "fax_number": "417-455-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S NEOSHO BLVD",
            "address_2": "SUITE A",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501646",
            "telephone_number": "417-451-5500",
            "fax_number": "417-455-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY COUNSELING CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER &THERAPIST",
        "authorized_official_telephone_number": "417-451-5500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004018766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.