Trinity Life Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2003018404 Issued in MO

Legal business name

TRINITY LIFE COUNSELING

Practice address

16262 Vixen Rd
Stark City, MO 64866-7945

Phone

(417) 388-9872

Fax

(888) 310-7328

NPI assigned

May 11, 2010

Last updated

Jun 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Lungstrum, LCSWNPI 1427129881

Title

President

Phone

(417) 388-9872

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

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.

• Cynthia Lungstrum, MSW, LCSW

  • Clinical Social Worker
  • Stark City, MO
  • NPI 1427129881
  Medicare reassignment Care Compare group Authorized official
• Doyle Lee Hoth, LCSW

  • Clinical Social Worker
  • Joplin, MO
  • NPI 1114253721
  Medicare reassignment Care Compare group NPD
• Jennifer M Berry, LCSW

  • Clinical Social Worker
  • Joplin, MO
  • NPI 1255940011
  Medicare reassignment NPD
• Kathleen Lacey, PHD

  • Psychologist
  • Oronogo, MO
  • NPI 1376612523
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1306164785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16262 VIXEN RD",
            "city": "STARK CITY",
            "state": "MO",
            "postal_code": "648667945",
            "telephone_number": "417-388-9872",
            "fax_number": "888-310-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16262 VIXEN RD",
            "city": "STARK CITY",
            "state": "MO",
            "postal_code": "648667945",
            "telephone_number": "417-388-9872",
            "fax_number": "888-310-7328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 W Valley St",
            "address_purpose": "LOCATION",
            "city": "Granby",
            "state": "MO",
            "postal_code": "648447974",
            "country_code": "US",
            "telephone_number": "417-388-9872",
            "fax_number": "888-310-7328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Fairlawn Dr",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MO",
            "postal_code": "64836",
            "country_code": "US",
            "telephone_number": "417-388-9872",
            "fax_number": "888-310-7328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY LIFE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "LUNGSTRUM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-388-9872",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003018404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497388108",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Harris, NP-C
• Wendy L Linton, LPC
• Cynthia Lungstrum, MSW, LCSW
• Sarah McLain, PT
• Positive Achievements, LLC
• Jessee Dylan Walburn
• Steven Wells

• Clinical Social Worker in Stark City, MO
• Providers in Stark City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.