F.D. Professional Counseling Service, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1999137153 Issued in MO

Legal business name

F.D. PROFESSIONAL COUNSELING SERVICE, INC

Practice address

129 E High St
Suite a
Jefferson City, MO 65101-5401

Phone

(573) 761-3222

Fax

(573) 761-3222

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Fred I Dudenhoeffer, LPCNPI 1215081153

Title

President

Phone

(573) 761-3222

Specialties & licenses 1

Addresses

Other names 1

• Professional Counseling Service Doing business as

Locations

Practitioners 1

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

• Fred I Dudenhoeffer, M.ED, LPC

  • Professional Counselor
  • Jefferson City, MO
  • NPI 1215081153
  NPD (past) Authorized official

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1699974063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651022168",
            "telephone_number": "573-761-3222",
            "fax_number": "573-761-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E HIGH ST",
            "address_2": "SUITE A",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651015401",
            "telephone_number": "573-761-3222",
            "fax_number": "573-761-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.D. PROFESSIONAL COUNSELING SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "DUDENHOEFFER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-761-3222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "1999137153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Lee Evans, APRN, FNP-C
• Madison Elaine Evans, DO
• Lori Ewing
• Eyemart Express LLC
• Eynard Cares Home Health LLC
• Family Counseling Center of Missouri Inc
• Family Medicine of Jefferson City, LLC
• Joseph M. Faries, CRNA
• Elizabeth A Farmer, DPT
• Megan Fast

• Mental Health Counselor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.