Active NPI
Debra Suzanne Hullender, LPC
- Counselor
- Salisbury, MO
National Provider Identifier
1700823432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 001429
- Practice address
- 609 S Broadway
Salisbury, MO 65281 - Phone
- (660) 388-5058
- Fax
- (660) 388-5058
- NPI assigned
- Jun 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0001429 | MO | |
| Counselor | 101Y00000X | 001429 | MO | Primary |
Addresses
Primary practice location
609 S Broadway
Salisbury, MO 65281
Mailing address
609 S Broadway
Salisbury, MO 65281
Phone (660) 388-5058
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496824210 | Medicaid | MO | |
| 233367 | Other | MO | HEALTHLINK |
| 195083 | Other | MO | BLUE SHIELD/BLUE CHOICE |
Other names 1
- Suzanne Suzanne Hullender
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001429 | MO | MD | Counselor |
| 001429 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1700823432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 S BROADWAY",
"city": "SALISBURY",
"state": "MO",
"postal_code": "65281",
"telephone_number": "660-388-5058",
"fax_number": "660-388-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 S BROADWAY",
"city": "SALISBURY",
"state": "MO",
"postal_code": "65281",
"telephone_number": "660-388-5058",
"fax_number": "660-388-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULLENDER",
"first_name": "DEBRA",
"middle_name": "SUZANNE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "0001429",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "001429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "496824210",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "233367",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD/BLUE CHOICE",
"identifier": "195083",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "HULLENDER",
"middle_name": "SUZANNE",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Salisbury, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.