Active NPI
Sharon S Pruetzel, MS, LPC
- Professional Counselor
- Halltown, MO
National Provider Identifier
1467458158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2001022075
- Practice address
- 1013 Highlandville Rd
Halltown, MO 65664 - Phone
- (417) 761-5400
- NPI assigned
- Jun 27, 2005
- 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 | 2001022075 | MO | Primary |
Addresses
Primary practice location
1013 Highlandville Rd
Halltown, MO 65664
Mailing address
1013 Highlandville Rd
Halltown, MO 65664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495696502 | Medicaid | MO |
Other names 1
- Sharon S Logsdon
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001022075 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1467458158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 HIGHLANDVILLE RD",
"city": "HALLTOWN",
"state": "MO",
"postal_code": "65664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 HIGHLANDVILLE RD",
"city": "HALLTOWN",
"state": "MO",
"postal_code": "65664",
"telephone_number": "417-761-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETZEL",
"first_name": "SHARON",
"middle_name": "S",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2001022075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495696502",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "LOGSDON",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.