Organization Active NPI

Tetrick Counseling & Associates, LLC.

  • Professional Counselor
  • Willard, MO
National Provider Identifier
1316479447
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013042527 Issued in MO
Legal business name
TETRICK COUNSELING & ASSOCIATES, LLC.
Practice address
108 Crighton Dr
Willard, MO 65781-9778
Phone
(417) 324-2935
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Patrick Tetrick
Title
Owner/Therapist
Phone
(417) 324-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013042527 MO Primary

Addresses

Primary practice location

108 Crighton Dr
Willard, MO 65781-9778

Mailing address

108 Crighton Dr
Willard, MO 65781-9778

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1316479447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CRIGHTON DR",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CRIGHTON DR",
            "city": "WILLARD",
            "state": "MO",
            "postal_code": "657819778",
            "telephone_number": "417-324-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETRICK COUNSELING & ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "TETRICK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "417-324-2935"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013042527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willard, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.