Theresa Angela Palmer, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CS000583 Issued in MO

Practice address

605 S 2ND St
De Soto, MO 63020-2010

Phone

(636) 586-4655

Fax

(636) 243-0782

NPI assigned

Dec 28, 2006

Last updated

Jan 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1770649451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630280104",
            "telephone_number": "636-586-4655",
            "fax_number": "636-243-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S 2ND ST",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630202010",
            "telephone_number": "636-586-4655",
            "fax_number": "636-243-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "THERESA",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "CS000583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497863100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Morris, MT-B C
• Lee Anna Moutray
• Mueller Electric Inc
• My Place Too, Inc
• Caly Otec
• Parity Foundation Inc.
• Robin J. Patton
• Charles William Pelton, O.D.
• Tessa Marie Penick
• Sundra Pinson

• Mental Health Counselor in De Soto, MO
• Providers in De Soto, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.