Individual provider Active NPI

Avery C Lough, MA, LPC

  • Professional Counselor
  • Pleasant Hill, MO
National Provider Identifier
1679170971
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020027785 Issued in MO
Practice address
1525 N Highway 7 Ste 201
Pleasant Hill, MO 64080-1980
Phone
(816) 308-0246
NPI assigned
Oct 8, 2020
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2020027785 MO Primary

Addresses

Primary practice location

1525 N Highway 7 Ste 201
Pleasant Hill, MO 64080-1980

Mailing address

441 NW W Hwy
Kingsville, MO 64061-9117
Phone (816) 308-0246

Other practice location 1

441 NW W Hwy
Kingsville, MO 64061-9117
Phone (816) 308-0246

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
I20250305000482 MO Practitioner - Mental Health Counselor 2961923115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Crossroads Counseling LLCGroup PAC ID 1153850961, 15 clinicians

Practice addresses (Care Compare)

1525 N Hwy 7
Suite 201
Pleasant Hill, MO 64080-1980
Phone (816) 308-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2020027785MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Country Crossroads Counseling LLC CurrentSince Feb 11, 2025 Accepting new patients

Locations

1203 SW State Route 7
Blue Springs, MO 64014
Phone (816) 228-4700

1525 N Highway 7
Ste 201
Pleasant Hill, MO 64080

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1679170971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW W HWY",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640619117",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N HIGHWAY 7 STE 201",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801980",
            "telephone_number": "816-308-0246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 NW W Hwy",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "MO",
            "postal_code": "640619117",
            "country_code": "US",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGH",
        "first_name": "AVERY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020027785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, MO

Sources for this page

Verify at the official NPI Registry.