Jonathon Stackhouse

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2021002313 Issued in MO

Practice address

1525 N 7 Hwy Ste 201
Pleasant Hill, MO 64080-1980

Phone

(816) 308-0246

Fax

(816) 566-0486

NPI assigned

Jan 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Country Crossroads Counseling LLC

  • Counselor
  • Kingsville, MO
  • NPI 1952705444
  Medicare reassignment NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1710692819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 NW HWY W",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "64061",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N 7 HWY STE 201",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801980",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 MO-2",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MO",
            "postal_code": "64734",
            "country_code": "US",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Pirate Ln",
            "address_purpose": "LOCATION",
            "city": "Norborne",
            "state": "MO",
            "postal_code": "646681382",
            "country_code": "US",
            "telephone_number": "816-308-0246",
            "fax_number": "816-566-0486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACKHOUSE",
        "first_name": "JONATHON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2021002313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pleasant Hill, MO
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.