Organization Active NPI

Wayfinder Therapeutic Services LLC

  • Clinical Social Worker
  • Jefferson City, MO
National Provider Identifier
1356006555
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WAYFINDER THERAPEUTIC SERVICES LLC
Practice address
1804 Southwest Blvd Ste a
Jefferson City, MO 65109-2483
Phone
(573) 418-4730
NPI assigned
Nov 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Katelyn S Kolb, LCSWNPI 1063905305
Title
Owner
Phone
(573) 418-4730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1804 Southwest Blvd Ste a
Jefferson City, MO 65109-2483

Mailing address

131 W High St Unit 1106
Jefferson City, MO 65102-0959
Phone (573) 418-4730

Other identifiers 1

IdentifierTypeStateIssuer
490059349MedicaidMO

Other names 1

  • Wayfinder Therapeutic Services LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kate@wayfinderjc.com

National Provider Directory

National Provider Directory

Locations

131 W High St
Unit 1106
Jefferson City, MO 65102

1804 Southwest Blvd
Ste A
Jefferson City, MO 65109
Phone (573) 418-4730

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1356006555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W HIGH ST UNIT 1106",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651020959",
            "telephone_number": "573-418-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 SOUTHWEST BLVD STE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092483",
            "telephone_number": "573-418-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYFINDER THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-418-4730",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490059349",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kate@wayfinderjc.com",
            "affiliation": "N",
            "address_1": "1804 Southwest Blvd Ste A",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651092483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wayfinder Therapeutic Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.