Individual provider Active NPI

Barbraella M Spilker, PLPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1700452125
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021018563 Issued in MO
Practice address
1759 E Elm St
Springfield, MO 65802-3227
Phone
(417) 719-1449
Fax
(417) 501-1330
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 2021018563 MO Primary

Addresses

Primary practice location

1759 E Elm St
Springfield, MO 65802-3227

Mailing address

1759 E Elm St
Springfield, MO 65802-3227
Phone (417) 719-1449

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
I20240205003109 MO Practitioner - Mental Health Counselor 9830532068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021018563MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Counseling Services Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1335 E Republic Rd
Ste H
Springfield, MO 65804
Phone (417) 719-1440

1759 E Elm St
Springfield, MO 65802
Phone (417) 719-1440

Organizations & group practices 1

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1700452125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 E ELM ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023227",
            "telephone_number": "417-719-1449",
            "fax_number": "417-501-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 E ELM ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023227",
            "telephone_number": "417-719-1449",
            "fax_number": "417-501-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILKER",
        "first_name": "BARBRAELLA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021018563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.