Active NPI
Tilghman J Feeler, LPC
- Professional Counselor
- Kennett, MO
National Provider Identifier
1790784940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001115
- Practice address
- 925 State Route VV
Kennett, MO 63857-3822 - Phone
- (573) 333-5875
- Fax
- (573) 333-5876
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001115 | MO | Primary |
Addresses
Primary practice location
925 State Route VV
Kennett, MO 63857-3822
Mailing address
PO Box 71
Kennett, MO 63857-0071
Phone (573) 333-5875
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001115 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1790784940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "KENNETT",
"state": "MO",
"postal_code": "638570071",
"telephone_number": "573-333-5875",
"fax_number": "573-333-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 STATE ROUTE VV",
"city": "KENNETT",
"state": "MO",
"postal_code": "638573822",
"telephone_number": "573-333-5875",
"fax_number": "573-333-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEELER",
"first_name": "TILGHMAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "001115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.