Individual provider Active NPI

Deanna Lynn Street, MA, LPC

  • Professional Counselor
  • Joplin, MO
National Provider Identifier
1356588206
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2008036432 Issued in MO
Practice address
705 Illinois Ave
Ste 22
Joplin, MO 64801-5017
Phone
(417) 627-9994
Fax
(417) 627-9995
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2008036432 MO Primary

Addresses

Primary practice location

705 Illinois Ave
Ste 22
Joplin, MO 64801-5017

Mailing address

705 Illinois Ave
Ste 22
Joplin, MO 64801-5017
Phone (417) 627-9994

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251022003405 MO Practitioner - Mental Health Counselor 8628221041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Missouri, Columbia School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

705 W 26TH St
Joplin, MO 64804-1904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2008036432MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of the Four States, LLC Professional CurrentSince Oct 1, 2025 Accepting new patients

Locations

705 W 26th St
Joplin, MO 64804
Phone (417) 627-9994

705 Illinois Ave
Ste 22
Joplin, MO 64801
Phone (417) 627-9994

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1356588206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ILLINOIS AVE",
            "address_2": "STE 22",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015017",
            "telephone_number": "417-627-9994",
            "fax_number": "417-627-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 ILLINOIS AVE",
            "address_2": "STE 22",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015017",
            "telephone_number": "417-627-9994",
            "fax_number": "417-627-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008036432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.