Ian T Guthrie, LPC

Individual provider Active NPI Counselor · Wood Heights, MO

NPI 1609437995 · NPPES record last updated Nov 27, 2020

Key facts

NPI
1609437995
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
2016035081 (MO)
Practice address
111 S Raymore St
Wood Heights, MO 64024-2828
Phone
(816) 944-3340
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2016035081MOMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Not Just Words, LLC Counselor Current
since Nov 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2016035081 MO Yes

Addresses

Primary practice location

111 S Raymore St
Wood Heights, MO 64024-2828

Mailing address

PO Box 53
Excelsior Springs, MO 64024-0053
Phone (816) 812-2081

Other providers in Wood Heights, MO

All providers in Wood Heights, MO · Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.