Individual provider Active NPI

Cristi Leathers, MA, LPC, NCC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1508377979
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017036304 Issued in MO
Practice address
1722 S Glenstone Ave Ste H
Springfield, MO 65804-1513
Phone
(417) 501-7440
NPI assigned
Oct 12, 2017
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2017036304 MO Primary

Addresses

Primary practice location

1722 S Glenstone Ave Ste H
Springfield, MO 65804-1513

Mailing address

2040 E Nottingham St
Springfield, MO 65804-7734
Phone (417) 501-7440

Other practice location 1

2040 E Nottingham St
Springfield, MO 65804-7734
Phone (417) 501-7440

Other identifiers 1

IdentifierTypeStateIssuer
1508337797MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2040 E Nottingham St
Springfield, MO 65804-7734

4653 S Campbell Ave
Library Center
Springfield, MO 65810-1723
Phone (719) 659-7873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2017036304MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Christian Counseling Inc. PastSince Oct 25, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1508377979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E NOTTINGHAM ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047734",
            "telephone_number": "417-501-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 S GLENSTONE AVE STE H",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041513",
            "telephone_number": "417-501-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 E Nottingham St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658047734",
            "country_code": "US",
            "telephone_number": "417-501-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEATHERS",
        "first_name": "CRISTI",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017036304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508337797",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.