Karista E. Gill, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2009007166 Issued in MO

Practice address

1091 Midway Dr
Linn Creek, MO 65052-1687

Phone

(888) 403-1071

Fax

(573) 346-0621

NPI assigned

Jun 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karista E. Bock Former name

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Richland Medical Center, Inc.

  dba Central Ozark Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978
  Medicare reassignment NPD
• Richland Medical Center, Inc.

  dba Central Ozarks Medical Center

  • Federally Qualified Health Center (FQHC)
  • Camdenton, MO
  • NPI 1588163323
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1639305147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 MIDWAY DR",
            "city": "LINN CREEK",
            "state": "MO",
            "postal_code": "650521687",
            "telephone_number": "888-403-1071",
            "fax_number": "573-346-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KARISTA",
        "middle_name": "E.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2009007166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARISTA",
            "last_name": "BOCK",
            "middle_name": "E.",
            "credential": "PLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Compass Health, Inc
• Compass Health, Inc.
• Juanita Marie Coutcher, LPC
• Family Counseling Center of Missouri Inc
• Kristy Gaines, RN
• Christi Michelle Hancock, D.C.
• Angel R. Heberg, LPC
• Mark A Kassebaum, LPC
• Christina James Landry, LPC
• Brook Lupplace, RN

• Mental Health Counselor in Linn Creek, MO
• Providers in Linn Creek, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.