Individual provider Active NPI

Joanna R Brodersen, LPC

  • Mental Health Counselor
  • Pleasant Hope, MO
National Provider Identifier
1366011983
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2021030516 Issued in MO
Practice address
1970 Highway KK
Pleasant Hope, MO 65725-8100
Phone
(417) 221-6655
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021030516 MO
Mental Health Counselor 101YM0800X 2021030516 MO Primary
Mental Health Counselor 101YM0800X C8553 OR

Addresses

Primary practice location

1970 Highway KK
Pleasant Hope, MO 65725-8100

Mailing address

1970 Highway KK
Pleasant Hope, MO 65725-8100
Phone (417) 221-6655

Other identifiers 1

IdentifierTypeStateIssuer
49009928MedicaidMO

Other names 1

  • Mrs. Joanna Struttman Former name

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

LicenseStateTypeSpecialty
2021030516MOMDMental Health Counselor
C8553ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Next Chapter Counseling CurrentSince Jun 8, 2025 Accepting new patients

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1366011983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 HIGHWAY KK",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657258100",
            "telephone_number": "417-221-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HIGHWAY KK",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657258100",
            "telephone_number": "417-221-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERSEN",
        "first_name": "JOANNA",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021030516",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021030516",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C8553",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49009928",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "STRUTTMAN",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Hope, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.