Active NPI
Athena Drattlo, PLPC
- Professional Counselor
- Farmington, MO
National Provider Identifier
1447734702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 007171
- Practice address
- 764 Weber Rd
Farmington, MO 63640-3317 - Phone
- (573) 664-1326
- Fax
- (573) 664-1328
- NPI assigned
- Sep 21, 2018
- 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 | 007171 | MO | Primary |
Addresses
Primary practice location
764 Weber Rd
Farmington, MO 63640-3317
Mailing address
1768 Primrose LN
Barnhart, MO 63012-1484
Phone (636) 223-0250
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 |
|---|---|---|---|
| 007171 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Counseling Solutions, LLC | Professional | Past | 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.
-
- Professional Counselor
- Farmington, MO
- NPI 1972129179
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1447734702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 PRIMROSE LN",
"city": "BARNHART",
"state": "MO",
"postal_code": "630121484",
"telephone_number": "636-223-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 WEBER RD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403317",
"telephone_number": "573-664-1326",
"fax_number": "573-664-1328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRATTLO",
"first_name": "ATHENA",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "007171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.