Individual provider Active NPI

Andrew Robert Taegel, M.ED., PLPC, CRADC

  • Counselor
  • Columbia, MO
National Provider Identifier
1770035388
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2016004561 Issued in MO
Practice address
29 S 9TH St Ste 207
Columbia, MO 65201-4884
Phone
(573) 356-6690
NPI assigned
Oct 30, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2016004561 MO Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2016004561 MO
Mental Health Counselor 101YM0800X 2016004561 MO
Professional Counselor 101YP2500X 2016004561 MO

Addresses

Primary practice location

29 S 9TH St Ste 207
Columbia, MO 65201-4884

Mailing address

29 S 9TH St Ste 207
Columbia, MO 65201-4884
Phone (573) 356-6690

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 Education

State licenses

LicenseStateTypeSpecialty
2016004561MOMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477785600000",
    "number": "1770035388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S 9TH ST STE 207",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014884",
            "telephone_number": "573-356-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S 9TH ST STE 207",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014884",
            "telephone_number": "573-356-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEGEL",
        "first_name": "ANDREW",
        "middle_name": "ROBERT",
        "credential": "M.ED., PLPC, CRADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2016004561",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2016004561",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016004561",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016004561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.