Active NPI
Christopher R Shupe, LCSW
- Clinical Social Worker
- Rolla, MO
National Provider Identifier
1457088940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2024034052
- Practice address
- 103 W 10TH St
Rolla, MO 65401-3247 - Phone
- (315) 955-2823
- NPI assigned
- Aug 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2022029271 | MO | |
| Clinical Social Worker | 1041C0700X | 2024034052 | MO | Primary |
Addresses
Primary practice location
103 W 10TH St
Rolla, MO 65401-3247
Mailing address
103 W 10TH St
Rolla, MO 65401-3247
Phone (315) 955-2823
Other practice location 1
704 Route 66 W Ste 101
Waynesville, MO 65583-8322
Phone (315) 955-2823
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | chris.shupe@hopeconnections.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 W 10TH St
Rolla, MO 65401-3247
Phone (573) 433-4846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022029271 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Connections, LLC | Current | Accepting new patients |
Locations
103 W 10th St
Rolla, MO 65401
Phone (573) 433-4846
704 Route 66 W
Ste 101
Waynesville, MO 65583
Phone (573) 433-4846
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
- Waynesville, MO
- NPI 1548686066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1457088940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013247",
"telephone_number": "315-955-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013247",
"telephone_number": "315-955-2823"
}
],
"practiceLocations": [
{
"address_1": "704 Route 66 W Ste 101",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "MO",
"postal_code": "655838322",
"country_code": "US",
"telephone_number": "315-955-2823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUPE",
"first_name": "CHRISTOPHER",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-04",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2022029271",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2024034052",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "chris.shupe@hopeconnections.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "103 W 10th St",
"city": "Rolla",
"state": "MO",
"country_code": "US",
"postal_code": "654013247",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.