Crescent Center Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2000197194 Issued in MO

Legal business name

CRESCENT CENTER COUNSELING

Practice address

104 Crescent Dr
Lebanon, MO 65536-3301

Phone

(417) 588-5885

Fax

(417) 588-4296

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Judy Diane Gabehart, M.ED., LPC

Title

Licensed Professional Counselor

Phone

(417) 588-5885

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1639409873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CRESCENT DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363301",
            "telephone_number": "417-588-5885",
            "fax_number": "417-588-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CRESCENT DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363301",
            "telephone_number": "417-588-5885",
            "fax_number": "417-588-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CENTER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "GABEHART",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "417-588-5885",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000197194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494879539",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Countryside Home, LLC
• Gary M. Courter, DO
• Jerry F Cox, D.D.S
• Katheryn Mae Cox, CCC-SLP
• Danielle Craig, CCC-SLP
• Crocker Chiropractic, LLC
• Jack D Crocker, DC
• Melani Ann Crocker, D.C.
• Kara Crowell
• Angela Lynn Daugherty, PHARM.D.

• All providers in Lebanon, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.