The Center for Individual & Family Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE CENTER FOR INDIVIDUAL & FAMILY COUNSELING, LLC

Practice address

200 Industrial Park Dr Ste 101
Hollister, MO 65672-5327

Phone

(417) 251-2601

NPI assigned

May 6, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer R Carlin, LSCWNPI 1578911335

Title

License Clinical Social Worker

Phone

(417) 320-5026

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Jennifer Carlin, LMSW

  • Social Worker
  • Hollister, MO
  • NPI 1578911335

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691193600000",
    "number": "1700441789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 ACACIA CLUB RD",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725234",
            "telephone_number": "417-251-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL PARK DR STE 101",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725327",
            "telephone_number": "417-251-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INDIVIDUAL & FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-08-05",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "417-320-5026",
        "authorized_official_credential": "LSCW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.hushmail.com/preview/hushmail/",
            "affiliation": "N",
            "endpointDescription": "https://secure.hushmail.com/preview/hushmail/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1012 Buck Ln",
            "city": "Merriam Woods Village",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657409750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marian W Stewart, D.O.
• Elizabeth N. Stobbe, M.D.
• R Randall Sukman, M.D.
• Taney County Ambulance District
• Lajan Kayle Taylor, MS, CCC-SLP
• Ronald Richard Tilgner, DDS
• Tompkins Wellness Center Inc
• TP Hollister Ops LLC
• Tri-Lakes Dental Center
• Tri-Lakes Dental Center

• Clinical Social Worker in Hollister, MO
• Providers in Hollister, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.