Active NPI
Deborah Lee Urban, LPC, NCC, EFT-ADV
- Professional Counselor
- Piedmont, MO
National Provider Identifier
1710978457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002006
- Practice address
- RR 2 Box 26221
Pine Cone Lane
Piedmont, MO 63957-9662 - Phone
- (573) 727-6428
- Fax
- (573) 223-7363
- NPI assigned
- Nov 2, 2005
- Last updated
- May 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002006 | MO | Primary |
Addresses
Primary practice location
RR 2 Box 26221
Pine Cone Lane
Piedmont, MO 63957-9662
Mailing address
RR 2 Box 26221
Pine Cone Lane
Piedmont, MO 63957-9662
Phone (573) 727-6428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498570019 | Medicaid | MO |
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 |
|---|---|---|---|
| 002006 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1710978457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 26221",
"address_2": "PINE CONE LANE",
"city": "PIEDMONT",
"state": "MO",
"postal_code": "639579662",
"telephone_number": "573-727-6428",
"fax_number": "573-223-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 2 BOX 26221",
"address_2": "PINE CONE LANE",
"city": "PIEDMONT",
"state": "MO",
"postal_code": "639579662",
"telephone_number": "573-727-6428",
"fax_number": "573-223-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "DEBORAH",
"middle_name": "LEE",
"credential": "LPC, NCC, EFT-ADV",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "002006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498570019",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Piedmont, MO
- Toneys Drug & Wellness, LLC (Piedmont Family Pharmacy)
- Town and Country Super Market Inc (Town & Country Pharmacy #688)
- Alten Raymond Treece Jr., BS
- Sarah Leanne Tripp
- Michelle Dawn Tucker
- Melody Dawn Wallace
- Melissa Kaye Warmack, NP-C
- Wayne Medical Center LLC
- Wayne Medical Center, L.L.C.
- Waynemedical Center LLC Lab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.