Organization Active NPI

The Cottage Therapy, LLC

  • Mental Health Counselor
  • Willow Springs, MO
National Provider Identifier
1679307318
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE COTTAGE THERAPY, LLC
Practice address
2916 US Highway 63
Willow Springs, MO 65793-9289
Phone
(417) 616-3039
NPI assigned
Aug 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Jodi Lynne Dancer, LCSWNPI 1194497206
Title
Owner/Practitioner
Phone
(530) 598-8392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2916 US Highway 63
Willow Springs, MO 65793-9289

Mailing address

2916 US Highway 63
Willow Springs, MO 65793-9289
Phone (417) 616-3039

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1679307318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 US HIGHWAY 63",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657939289",
            "telephone_number": "417-616-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 US HIGHWAY 63",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657939289",
            "telephone_number": "417-616-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COTTAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "DANCER",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "530-598-8392",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.