Active NPI
Kendra N Page, MS, LPC
- Professional Counselor
- Springfield, MO
National Provider Identifier
1700163680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2011035734
- Practice address
- 777 E Battlefield St
102B
Springfield, MO 65807-4807 - Phone
- (417) 597-4572
- NPI assigned
- Nov 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 2011035734 | MO | Primary |
Addresses
Primary practice location
777 E Battlefield St
102B
Springfield, MO 65807-4807
Mailing address
777 E Battlefield St
Springfield, MO 65807-4807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497082602 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011035734 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1700163680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 E BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E BATTLEFIELD ST",
"address_2": "102B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658074807",
"telephone_number": "417-597-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "KENDRA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2011035734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497082602",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.