Charles Edwin Myers, PHD,LPC,LMHC,RPTS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021021781 Issued in MO

Practice address

4252 E Farm Road 64
Fair Grove, MO 65648-8308

Phone

(417) 836-5256

NPI assigned

Mar 23, 2007

Last updated

Jul 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1679690820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CYRUS WAY",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762087568",
            "telephone_number": "817-403-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 E FARM ROAD 64",
            "city": "FAIR GROVE",
            "state": "MO",
            "postal_code": "656488308",
            "telephone_number": "417-836-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "PHD,LPC,LMHC,RPTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8288",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021021781",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "170707",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Larue
• Michael Lentz, DC, DACNB
• Lester E Cox Medical Centers (Coxhealth School Based Telemedicine)
• Emma Letterman
• Michael Cameron Lincks, DNAP- CRNA
• Shawn Nolen Rice, M.D
• RPCS Inc (Price Cutter Pharmacy #85)
• Smith Management Services, LLC (Family Pharmacy #16)

• Professional Counselor in Fair Grove, MO
• Providers in Fair Grove, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.