Active NPI
Jamie M Raub, LPC
- Professional Counselor
- Troy, MO
National Provider Identifier
1801077623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005038601
- Practice address
- 116 S Lincoln Dr
Troy, MO 63379-1418 - Phone
- (636) 528-1996
- Fax
- (636) 528-1833
- NPI assigned
- Nov 20, 2007
- Sex
- Female
- 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 | 2005038601 | MO | Primary |
Addresses
Primary practice location
116 S Lincoln Dr
Troy, MO 63379-1418
Mailing address
116 S Lincoln Dr
Troy, MO 63379-1418
Phone (636) 528-1996
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 |
|---|---|---|---|
| 2005038601 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Behavioral Health, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Troy, MO
- NPI 1700820099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1801077623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S LINCOLN DR",
"city": "TROY",
"state": "MO",
"postal_code": "633791418",
"telephone_number": "636-528-1996",
"fax_number": "636-528-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S LINCOLN DR",
"city": "TROY",
"state": "MO",
"postal_code": "633791418",
"telephone_number": "636-528-1996",
"fax_number": "636-528-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUB",
"first_name": "JAMIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2005038601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.