Ann Loethen-Koetting, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2008002505 Issued in MO

Practice address

1717 E Republic Rd
Suite D
Springfield, MO 65804-6525

Phone

(417) 496-7472

Fax

(844) 683-2342

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1740725415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E REPUBLIC RD",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046525",
            "telephone_number": "417-496-7472",
            "fax_number": "844-683-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E REPUBLIC RD",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046525",
            "telephone_number": "417-496-7472",
            "fax_number": "844-683-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOETHEN-KOETTING",
        "first_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2008002505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.