Individual provider Active NPI

Jennah Strathausen, PHD, LP

  • Counseling Psychologist
  • Columbia, MO
National Provider Identifier
1558031385
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2021034427 Issued in MO
Practice address
201 W Broadway Ste 2F
Columbia, MO 65203-3842
Phone
(785) 393-2315
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2021034427 MO Primary

Addresses

Primary practice location

201 W Broadway Ste 2F
Columbia, MO 65203-3842

Mailing address

818 Rollins Rd
Columbia, MO 65203-2850
Phone (785) 393-2315

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220329002922 MO Practitioner - Clinical Psychologist 0941696074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 W Broadway
Columbia, MO 65203-3842
Phone (573) 825-4036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2021034427MOMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Hub LLC CurrentSince Oct 30, 2024 Accepting new patients
Jennah Strathausen LLC CurrentSince May 10, 2023 Accepting new patients
Chris Lawrence and Associates, LLC. CurrentSince Jan 1, 2022 Accepting new patients

Locations

2804 Forum Blvd
Ste 4
Columbia, MO 65203
Phone (573) 446-5034

201 W Broadway
Ste 2F
Columbia, MO 65203
Phone (573) 214-0436

201 W Broadway
Ste 2D
Columbia, MO 65203
Phone (573) 443-1508

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1558031385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 ROLLINS RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032850",
            "telephone_number": "785-393-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY STE 2F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "785-393-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATHAUSEN",
        "first_name": "JENNAH",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2021034427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.