NPIMap

Organization Active NPI

Lumina Child & Family Counseling LLC

  • Community/Behavioral Health Agency
  • Columbia, MO
National Provider Identifier
1477739167
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2003031572 Issued in MO
Legal business name
LUMINA CHILD & FAMILY COUNSELING LLC
Practice address
601 W Nifong Blvd
Suite 1B
Columbia, MO 65203-6804
Phone
(573) 442-9669
Fax
(573) 442-9670
NPI assigned
Jan 14, 2008
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Jason F Zoellers, LPCNPI 1619938875
Title
Owner/Counselor
Phone
(573) 673-9546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2003031572 MO Primary

Addresses

Primary practice location

601 W Nifong Blvd
Suite 1B
Columbia, MO 65203-6804

Mailing address

601 W Nifong Blvd
Suite 1B
Columbia, MO 65203-6804
Phone (573) 442-9669

Other identifiers 3

IdentifierTypeStateIssuer
11558000OtherMOCAQH
1619938875OtherMONPI, INDIVIDUAL
491362505MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1477739167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD",
            "address_2": "SUITE 1B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-442-9669",
            "fax_number": "573-442-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD",
            "address_2": "SUITE 1B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-442-9669",
            "fax_number": "573-442-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA CHILD & FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "ZOELLERS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "573-673-9546",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2003031572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11558000",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, INDIVIDUAL",
            "identifier": "1619938875",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491362505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.