Individual provider Active NPI

Olivia Arden Guengerich, LMSW

  • Social Worker
  • Springfield, MO
National Provider Identifier
1568285906
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2024030294 Issued in MO
Practice address
3506 S Culpepper Cir Ste D
Springfield, MO 65804-4251
Phone
(417) 893-9359
Fax
(417) 450-4896
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2024030294 MO Primary

Addresses

Primary practice location

3506 S Culpepper Cir Ste D
Springfield, MO 65804-4251

Mailing address

5844 S Geranium LN
Battlefield, MO 65619-8700
Phone (573) 692-0170

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024030294MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Counseling Center, LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

3506 S Culpepper Cir
Ste D
Springfield, MO 65804
Phone (417) 839-8747

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1568285906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 S GERANIUM LN",
            "city": "BATTLEFIELD",
            "state": "MO",
            "postal_code": "656198700",
            "telephone_number": "573-692-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 S CULPEPPER CIR STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044251",
            "telephone_number": "417-893-9359",
            "fax_number": "417-450-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENGERICH",
        "first_name": "OLIVIA",
        "middle_name": "ARDEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024030294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.