Elizabeth M Dardenne, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2016032967 Issued in MO

Practice address

3101 S Kimbrough Ave
Suite C
Springfield, MO 65807-5011

Phone

(417) 866-7773

NPI assigned

Sep 22, 2016

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Counseling Center, Inc.Group PAC ID 9234282112, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Gateway Counseling Center, Inc.

  • Psychologist
  • Springfield, MO
  • NPI 1962632489

  Professional

  Medicare reassignment Care Compare group NPD
• McGuire Christian Counseling Inc.

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1912141789
  NPD

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1336698059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044264",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S KIMBROUGH AVE",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075011",
            "telephone_number": "417-866-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDENNE",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016032967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13965071",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490036039",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan S Daniel, LD
• Jason A Daniels, FNP
• Aaron Richard Dannegger, DDS
• Kesia Danner-Bowman, PT
• Katie Lynn Dansby, MS, PLPC
• John Luke Darity, FNP
• Shannon P Dark, PSYD
• Michelle Audrey Darmadi, MD
• David Darmsteadter, M.D.
• Amanda Dawn Darris, LMT

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.