Individual provider Active NPI

Caleb K Boggs, PLPC

  • Professional Counselor
  • Joplin, MO
National Provider Identifier
1750138079
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2024003540 Issued in MO
Practice address
530 S Maiden LN
Joplin, MO 64801-3084
Phone
(417) 782-6200
Fax
(417) 782-6210
NPI assigned
May 3, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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 2024003540 MO Primary

Addresses

Primary practice location

530 S Maiden LN
Joplin, MO 64801-3084

Mailing address

530 S Maiden LN
Joplin, MO 64801-3084
Phone (417) 782-6200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260213000593 MO Practitioner - Mental Health Counselor 0244710838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 758
Neosho, MO 64850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024003540MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium CurrentSince Jan 7, 2026 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Jan 7, 2026 Accepting new patients
Ozark Tri-County Health Care Consortium PastSince Feb 26, 2023 Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

1809 S Connor Ave
Joplin, MO 64804
Phone (417) 782-1772

301 Big Spring Dr
Neosho, MO 64850

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1750138079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013084",
            "telephone_number": "417-782-6200",
            "fax_number": "417-782-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S MAIDEN LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013084",
            "telephone_number": "417-782-6200",
            "fax_number": "417-782-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "CALEB",
        "middle_name": "K",
        "credential": "PLPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2024003540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.