Barbara Ann Proctor, M.A., QMHP, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2020040389 Issued in MO

Practice address

112 McClurg Ave
Richland, MO 65556

Phone

(573) 765-5141

Fax

(573) 765-3824

NPI assigned

Oct 17, 2007

Last updated

May 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Barbara Ann Numerowski Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richland Medical Center, Inc.Group PAC ID 2062554025, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richland Medical Center, Inc.

  dba Central Ozark Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1508055302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "573-708-7600",
            "fax_number": "573-723-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MCCLURG AVE",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "65556",
            "telephone_number": "573-765-5141",
            "fax_number": "573-765-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24670 Safe Rd",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655838309",
            "country_code": "US",
            "telephone_number": "847-226-1714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3436 N Kennicott Ave",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600047814",
            "country_code": "US",
            "telephone_number": "847-952-7646 x5730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654013648",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "M.A., QMHP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007422",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020040389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "NUMEROWSKI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mercy Hospital Lebanon (Mercy Clinic Richland)
• Cira Monnig, CNP
• Aubrey Moore
• Zanetta R Morrow, OT L
• Lee Scott Powers, DDS
• Pulaski County R-IV School District
• Pulaski County Sheltered Workshop
• Bethany Rackers, LCSW
• Evan Stewart Reynolds
• Richland Care Center, Inc.

• Professional Counselor in Richland, MO
• Providers in Richland, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.

Verify at the official NPI Registry.