Alter Ego Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2011024378 Issued in MO

Legal business name

ALTER EGO COUNSELING

Practice address

505 S Kentucky Ave
Suite D
Sedalia, MO 65301-4254

Phone

(660) 232-1107

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany S Martin, LCSWNPI 1457686990

Title

Owner/Therapist

Phone

(660) 232-1107

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tiffany Suzanne Martin, LCSW

  • Clinical Social Worker
  • Liberty, MO
  • NPI 1457686990
  NPD (past) Authorized official

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1487009361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S KENTUCKY AVE",
            "address_2": "SUITE D",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014254",
            "telephone_number": "660-232-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S KENTUCKY AVE",
            "address_2": "SUITE D",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014254",
            "telephone_number": "660-232-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTER EGO COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "660-232-1107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011024378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Air Evac EMS Inc (Air Evac Lifeteam)
• Alan a Allmon, D.O. P.C.
• Joylynn D Allard, LPC
• Allison Fischer DO PC
• Mackenzie L Allison
• Eryka Lynn Amaya, RDH
• Elizabeth Anne Ambrose, M.S., CCC-SLP
• American Paramedical Serv
• Periapatna Ananth, MD
• Riley Anderson, DDS

• Clinical Social Worker in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.