Individual provider Active NPI

Victoria Lynn Zettl, PLPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1740935493
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021051220 Issued in MO
Practice address
1736 E Sunshine St Ste 811
Springfield, MO 65804-1334
Phone
(417) 882-4485
Fax
(417) 882-5517
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 2021051220 MO Primary

Addresses

Primary practice location

1736 E Sunshine St Ste 811
Springfield, MO 65804-1334

Mailing address

1736 E Sunshine St Ste 811
Springfield, MO 65804-1334
Phone (417) 882-4485

Other identifiers 1

IdentifierTypeStateIssuer
2021051220OtherMOSTATE OF MISSOURI PROVISIONAL LICENSE PROFESSIONAL COUNSELOR

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

LicenseStateTypeSpecialty
2021051220MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1740935493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST STE 811",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041334",
            "telephone_number": "417-882-4485",
            "fax_number": "417-882-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E SUNSHINE ST STE 811",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041334",
            "telephone_number": "417-882-4485",
            "fax_number": "417-882-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTL",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021051220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI PROVISIONAL LICENSE PROFESSIONAL COUNSELOR",
            "identifier": "2021051220",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.