Active NPI
Jenny Marie Coon, LPC
- Professional Counselor
- Columbia, MO
National Provider Identifier
1336436856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2008009341
- Practice address
- 2600 Forum Blvd
Ste G
Columbia, MO 65203-6343 - Phone
- (573) 446-9665
- NPI assigned
- Jul 5, 2011
- 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 | 2008009341 | MO | Primary |
Addresses
Primary practice location
2600 Forum Blvd
Ste G
Columbia, MO 65203-6343
Mailing address
3976 Saratoga CT
Fulton, MO 65251-3045
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 |
|---|---|---|---|
| 2008009341 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1336436856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3976 SARATOGA CT",
"city": "FULTON",
"state": "MO",
"postal_code": "652513045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 FORUM BLVD",
"address_2": "STE G",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652036343",
"telephone_number": "573-446-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "JENNY",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2008009341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.