Organization Active NPI

Allied Mental Health Consultants LLC

  • Clinical Social Worker
  • Lamar, MO
National Provider Identifier
1548596109
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000440 Issued in MO
Legal business name
ALLIED MENTAL HEALTH CONSULTANTS LLC
Practice address
1107 Broadway St
Lamar, MO 64759-1758
Phone
(417) 682-5757
Fax
(417) 682-5757
NPI assigned
Nov 2, 2009
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Mr. Harley Verdis Gullett, ACSW/LCSW
Title
Owner
Phone
(417) 682-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000440 MO Primary

Addresses

Primary practice location

1107 Broadway St
Lamar, MO 64759-1758

Mailing address

1107 Broadway St
Lamar, MO 64759-1758
Phone (417) 682-5757

National Provider Directory

National Provider Directory

Locations

1736 E Sunshine St
Ste 510
Springfield, MO 65804
Phone (417) 682-5757

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1548596109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BROADWAY ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591758",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BROADWAY ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591758",
            "telephone_number": "417-682-5757",
            "fax_number": "417-682-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MENTAL HEALTH CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "GULLETT",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_middle_name": "VERDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-682-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW/LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.