Individual provider Active NPI

Sidra Kunnemann-McGuire, M.A., LPC

  • Professional Counselor
  • Saint Robert, MO
National Provider Identifier
1760933048
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2014012335 Issued in MO
Practice address
16224 Heartland LN
Saint Robert, MO 65584-4823
Phone
(573) 433-6781
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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 2014012335 MO Primary

Addresses

Primary practice location

16224 Heartland LN
Saint Robert, MO 65584-4823

Mailing address

16224 Heartland LN
Saint Robert, MO 65584-4823
Phone (573) 433-6781

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2014012335MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1760933048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16224 HEARTLAND LN",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844823",
            "telephone_number": "573-433-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16224 HEARTLAND LN",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844823",
            "telephone_number": "573-433-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNNEMANN-MCGUIRE",
        "first_name": "SIDRA",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2014012335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Robert, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.