Active NPI
Beth K Prentzler, LPC
- Professional Counselor
- Macon, MO
National Provider Identifier
1407296551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007012738
- Practice address
- 111 N Rollins St
Macon, MO 63552-1530 - Phone
- (660) 346-0432
- NPI assigned
- Jul 2, 2013
- 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 | 2007012738 | MO | Primary |
Addresses
Primary practice location
111 N Rollins St
Macon, MO 63552-1530
Mailing address
402 S Missouri St
Macon, MO 63552-1337
Phone (660) 346-0432
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007012738 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1407296551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S MISSOURI ST",
"city": "MACON",
"state": "MO",
"postal_code": "635521337",
"telephone_number": "660-346-0432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N ROLLINS ST",
"city": "MACON",
"state": "MO",
"postal_code": "635521530",
"telephone_number": "660-346-0432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTZLER",
"first_name": "BETH",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007012738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.