Active NPI
Nan Susan Hart, M.S.
- Mental Health Counselor
- Springfield, MO
National Provider Identifier
1780701029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2006009175
- Practice address
- 1550 E Battlefield St
Suite a
Springfield, MO 65804-3704 - Phone
- (417) 869-9011
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2006009175 | MO | Primary |
Addresses
Primary practice location
1550 E Battlefield St
Suite a
Springfield, MO 65804-3704
Mailing address
2473 E Edgewood St
Springfield, MO 65804-3905
Phone (417) 886-8273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 491221107 | Medicaid | MO | |
| 2006009175 | Other | MO | COUNSELOR LICENSE NUMBER |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006009175 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780701029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2473 E EDGEWOOD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658043905",
"telephone_number": "417-886-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E BATTLEFIELD ST",
"address_2": "SUITE A",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658043704",
"telephone_number": "417-869-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "NAN",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2006009175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "491221107",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR LICENSE NUMBER",
"identifier": "2006009175",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.