NPIMap

Organization Active NPI

Chris Lawrence and Associates, LLC.

  • Clinical Psychologist
  • Columbia, MO
National Provider Identifier
1427358696
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY01793 Issued in MO
Legal business name
CHRIS LAWRENCE AND ASSOCIATES, LLC.
Practice address
201 W Broadway
BLDG 2, Suite F
Columbia, MO 65203-3842
Phone
(573) 214-0436
Fax
(573) 442-0606
NPI assigned
Oct 21, 2010
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Kim BowmanNPI 1174912067
Title
HR
Phone
(573) 214-0436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2010018200 MO
Clinical Psychologist 103TC0700X PY01793 MO Primary
Clinical Social Worker 1041C0700X 2003027880 MO
Marriage & Family Therapist 106H00000X 2009031585 MO

Addresses

Primary practice location

201 W Broadway
BLDG 2, Suite F
Columbia, MO 65203-3842

Mailing address

201 W Broadway
BLDG 2, Suite F
Columbia, MO 65203-3842
Phone (573) 214-0436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151223001822 MO Part B Supplier - Clinic/Group Practice 4486955036 Receives reassigned benefits from 13 practitioners
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

201 W Broadway
Ste 2F
Columbia, MO 65203
Phone (573) 214-0436

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1427358696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY",
            "address_2": "BLDG 2, SUITE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-214-0436",
            "fax_number": "573-442-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY",
            "address_2": "BLDG 2, SUITE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-214-0436",
            "fax_number": "573-442-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS LAWRENCE AND ASSOCIATES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "573-214-0436"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2010018200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY01793",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2003027880",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2009031585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.