Individual provider Active NPI

Necole Layer Olmstead, M. A.

  • Professional Counselor
  • Camdenton, MO
National Provider Identifier
1700089067
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2004020356 Issued in MO
Practice address
123 Hudson St
Camdenton, MO 65020-6904
Phone
(573) 337-0408
NPI assigned
Jun 6, 2007
Last updated
Jun 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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 2004020356 MO Primary

Addresses

Primary practice location

123 Hudson St
Camdenton, MO 65020-6904

Mailing address

119 N Benton St
PO Box 514
Waynesville, MO 65583-2501
Phone (573) 433-2833

Other identifiers 1

IdentifierTypeStateIssuer
497407700MedicaidMO

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
I20231129001628 MO Practitioner - Mental Health Counselor 1658672985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

980 Parkside Village LN
Osage Beach, MO 65065-3098
Phone (888) 403-1071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Counseling LLC CurrentSince Mar 4, 2021 Accepting new patients
Compass Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Compass Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Benton Street Counseling LLC Professional Past Accepting new patients
Benton Street Counseling LLC Professional PastSince Oct 24, 2015 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

980 Parkside Village Ln
Osage Beach, MO 65065
Phone (573) 302-1114

Organizations & group practices 5

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402704000000",
    "number": "1700089067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N BENTON ST",
            "address_2": "PO BOX 514",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655832501",
            "telephone_number": "573-433-2833",
            "fax_number": "573-433-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HUDSON ST",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206904",
            "telephone_number": "573-337-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "NECOLE",
        "middle_name": "LAYER",
        "name_prefix": "Prof.",
        "credential": "M. A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004020356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497407700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camdenton, MO

Sources for this page

Verify at the official NPI Registry.