Good-Nous Family Counseling Center, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2006034106 Issued in MO

Legal business name

GOOD-NOUS FAMILY COUNSELING CENTER, LLC

Practice address

2085 S Boston PL
Bolivar, MO 65613-2871

Phone

(417) 326-2418

Fax

(417) 326-2419

NPI assigned

Feb 18, 2013

Organization subpart

No

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

Authorized official

Name

John Richard Spooner, PSY.D, LPCNPI 1750351409

Title

Licensed Psychologist

Phone

(417) 326-2418

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Richard Spooner, PSY.D.

  • Clinical Psychologist
  • Bolivar, MO
  • NPI 1750351409

  MO

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1447590104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 S BOSTON PL",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132871",
            "telephone_number": "417-326-2418",
            "fax_number": "417-326-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 S BOSTON PL",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132871",
            "telephone_number": "417-326-2418",
            "fax_number": "417-326-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD-NOUS FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-326-2418",
        "authorized_official_credential": "PSY.D, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002023735",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006034106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Giglio
• Erik Josef Glassl, CRNA
• Boguslaw Gluszak, M.D.
• Briana Gomez, MD
• Paul Andres Gonzales, D.D.S.
• Daniel Tim Goodman Jr., D.D.S
• Jacob Forrest Goodman
• David Alan Gordon, AT
• Austin Gott, MS, RDN, LDN
• Grainger Counseling LLC

• Clinical Psychologist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.