Psychosocial Assistance Program Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PSYCHOSOCIAL ASSISTANCE PROGRAM INC

Practice address

4418 W 28TH St
Joplin, MO 64804-8117

Phone

(417) 291-9079

NPI assigned

Jan 6, 2023

Organization subpart

No

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

Authorized official

Name

Gerard Mondestin, LPC

Title

Ceo

Phone

(417) 291-9079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1457065294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 W ADOBE LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040186",
            "telephone_number": "417-291-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 W 28TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648048117",
            "telephone_number": "417-291-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 NE Center St",
            "address_purpose": "LOCATION",
            "city": "Blue Jacket",
            "state": "OK",
            "postal_code": "743336480",
            "country_code": "US",
            "telephone_number": "417-291-9079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHOSOCIAL ASSISTANCE PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MONDESTIN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-291-9079",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caden John Propst
• Madison Danae Prough
• Mallory Ann Province, DC
• Alexis Adeline Prusow
• PS4B
• Alice K Pulsipher, DO
• Mathew Lea Pultz, DO
• Susan Jenette Pumphrey, RN, FNP-C
• Regann Punzo
• Gabriel Purdy

• Mental Health Counselor in Joplin, MO
• Providers in Joplin, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.