Active NPI
Necole Layer Olmstead, M. A.
- Professional Counselor
- Camdenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2004020356
- Practice address
- 123 Hudson St
Camdenton, MO 65020-6904 - Phone
- (573) 337-0408
- NPI assigned
- Jun 6, 2007
- Last updated
- Jun 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497407700 | Medicaid | MO |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Counseling LLC | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Benton Street Counseling LLC | Professional | Past | Accepting new patients |
| Benton Street Counseling LLC | Professional | Past | 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.
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camdenton, MO
- NPI 1184218026
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Professional Counselor
- Rolla, MO
- NPI 1578053955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.