Jonna J Mooneyham, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005030090 Issued in MO

Practice address

RR 2 Box 2711
Wheatland, MO 65779-9809

Phone

(573) 680-2535

Fax

(888) 301-6832

NPI assigned

Oct 10, 2006

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1689761553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2711",
            "city": "WHEATLAND",
            "state": "MO",
            "postal_code": "657799809",
            "telephone_number": "573-680-2535",
            "fax_number": "888-301-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 2711",
            "city": "WHEATLAND",
            "state": "MO",
            "postal_code": "657799809",
            "telephone_number": "573-680-2535",
            "fax_number": "888-301-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEYHAM",
        "first_name": "JONNA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005030090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497594705",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497594721",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie D Mooneyham, M.A., LPC
• Anastasia Sabala
• Seasons Changed Counseling LLC
• St. Clair County Hospital District #1 (Lake Area Primary Care Clinic)
• Wheatland R-II School District

• Professional Counselor in Wheatland, MO
• Providers in Wheatland, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.