Lauren Elise Buchtmann, LPC
Individual provider Active NPI Professional Counselor · Marble Hill, MO
NPI 1801569736 · NPPES record last updated Jul 27, 2021
Key facts
- NPI
- 1801569736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2016011417 (MO)
- Practice address
- 103 El Nathan Drive
Marble Hill, MO 63764-8342 - Phone
- (573) 238-1027
- Fax
- (573) 238-1171
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Counseling Center
Practice addresses (Care Compare)
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone 57333411002780
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526003611 | MO | Practitioner - Mental Health Counselor | 1557831070 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016011417 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2016011417 | MO | Yes |
Addresses
Primary practice location
103 El Nathan Drive
Marble Hill, MO 63764-8342
Mailing address
103 El Nathan Drive
Marble Hill, MO 63764-8342
Phone (573) 238-1027
Other providers in Marble Hill, MO
- Behavior Analysis & Support, LLC
- Courtney Leigh Beussink
- Abby Rose Bohnsack
- Bollinger County Health Center
- Ronald R Brand
- Andrea Danielle Cook
- Courtney L Beussink DDS LLC
- Joesph D Cravens
- Cross Trails Medical Center
- Cross Trails Medical Center
All providers in Marble Hill, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.