Barbara Ann Proctor, M.A., QMHP, LPC
Individual provider Active NPI Professional Counselor · Richland, MO
NPI 1508055302 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1508055302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2020040389 (MO)
- Practice address
- 112 McClurg Ave
Richland, MO 65556 - Phone
- (573) 765-5141
- Fax
- (573) 765-3824
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richland Medical Center, Inc.
Practice addresses (Care Compare)
112 W McClurg Ave
Richland, MO 65556-7601
Phone (877) 406-2662
304 W Washington Ave
Richland, MO 65556-7101
Phone (573) 836-7053
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109004559 | MO | Practitioner - Mental Health Counselor | 9436500964 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180007422 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Medical Center, Inc. | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 180007422 | IL | |
| Professional Counselor | 101YP2500X | 2020040389 | MO | Yes |
Addresses
Primary practice location
112 McClurg Ave
Richland, MO 65556
Mailing address
PO Box 777
Richland, MO 65556-0777
Phone (573) 708-7600
Other practice location 1
24670 Safe Rd
Waynesville, MO 65583-8309
Phone (847) 226-1714
Other practice location 2
3436 N Kennicott Ave
Arlington Heights, IL 60004-7814
Phone (847) 952-7646 ext. 5730
Other practice location 3
1450 E 10th St
Rolla, MO 65401-3648
Phone (844) 853-8937
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508055302 | Medicaid | MO |
Other names
- Barbara Ann Numerowski
Other providers in Richland, MO
- Mercy Hospital Lebanon
- Cira Monnig
- Aubrey Moore
- Zanetta R Morrow
- Lee Scott Powers
- Pulaski County R-IV School District
- Pulaski County Sheltered Workshop
- Bethany Rackers
- Evan Stewart Reynolds
- Richland Care Center, Inc.
All providers in Richland, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.