Active NPI
Sophia D Aycock, MS, PLPC
- Professional Counselor
- Versailles, MO
National Provider Identifier
1356214522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2025043823
- Practice address
- 112 N State Highway 5
Versailles, MO 65084-1509 - Phone
- (573) 378-6222
- NPI assigned
- Sep 24, 2025
- 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 | 2025043823 | MO | Primary |
Addresses
Primary practice location
112 N State Highway 5
Versailles, MO 65084-1509
Mailing address
2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000
Other names 1
- Sophia Dawn Greenwalt
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025043823 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1356214522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 W BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073952",
"telephone_number": "417-761-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N STATE HIGHWAY 5",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841509",
"telephone_number": "573-378-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK",
"first_name": "SOPHIA",
"middle_name": "D",
"credential": "MS, PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2025043823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOPHIA",
"last_name": "GREENWALT",
"middle_name": "DAWN",
"credential": "PLPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.