Robert (Rob) Kent McGavock, L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

000772 Issued in MO

Practice address

1506 E. Broadway, Suite 119
Employee Assistance Program Doctor'S Building
Columbia, MO 65201

Phone

(573) 815-6034

Fax

(573) 815-6477

NPI assigned

Apr 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1407173966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E. BROADWAY, SUITE 119",
            "address_2": "EMPLOYEE ASSISTANCE PROGRAM DOCTOR'S BUILDING",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-6034",
            "fax_number": "573-815-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E. BROADWAY, SUITE 119",
            "address_2": "EMPLOYEE ASSISTANCE PROGRAM DOCTOR'S BUILDING",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-6034",
            "fax_number": "573-815-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAVOCK",
        "first_name": "ROBERT (ROB)",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "000772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha McFarland
• Adriana McGarity, MD
• Timothy Douglas McGarity, MD
• Daniel McGaugh
• Brenda McGavock, PH,D
• James Michael McGee
• Aungelique McGhee
• Patricia A. McGhie, M.D.
• Ronald William McGill, RPH
• Erin McGinley, MAT, LAT, ATC

• Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.