Individual provider Active NPI

Grace Danback, PLPC

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1700629821
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2024020543 Issued in MO
Practice address
601 W Nifong Blvd Ste 1B
Columbia, MO 65203-6804
Phone
(573) 586-3204
Fax
(573) 646-0159
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 2024020543 MO Primary

Addresses

Primary practice location

601 W Nifong Blvd Ste 1B
Columbia, MO 65203-6804

Mailing address

601 W Nifong Blvd Ste 1B
Columbia, MO 65203-6804
Phone (573) 586-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2804 Forum Blvd
Suite 4
Columbia, MO 65203-6322

68 Brian LN
Troy, MO 63379-4715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024020543MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Hub LLC Professional CurrentSince Aug 11, 2024 Accepting new patients

Locations

601 W Nifong Blvd
Ste 1B
Columbia, MO 65203
Phone (573) 442-9669

2804 Forum Blvd
Ste 4
Columbia, MO 65203
Phone (573) 446-5034

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1700629821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-586-3204",
            "fax_number": "573-646-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-586-3204",
            "fax_number": "573-646-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANBACK",
        "first_name": "GRACE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2024020543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.