Linda Ann Bogue

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1215 Issued in MO

Practice address

2919 E 4TH St
Joplin, MO 64801-1625

Phone

(417) 782-7966

Fax

(417) 624-4558

NPI assigned

Aug 29, 2013

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 names 1

• Miss Linda Ann Pearce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Joplin, MO
  • NPI 1437860772
  NPD (past)
• Vcphcs XV, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Joplin, MO
  • NPI 1144666264
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1821422502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12114 DAVID LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648048308",
            "telephone_number": "417-781-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 E 4TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011625",
            "telephone_number": "417-782-7966",
            "fax_number": "417-624-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUE",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PEARCE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "CRAADC/CCDP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Russell M Bodily
• Steven P Boeger, CRNA
• Susan Boeger, CRNA
• Darlene Bogenpohl
• Caleb K Boggs, PLPC
• Julia Bohannon, LLPC
• Michelle Adriana Boice, M. D.
• Bokker, Inc. (Home Instead)
• Heather M Boline, RD, LD
• Ray T Bollin, DDS

• Addiction (Substance Use Disorder) Counselor in Joplin, MO
• Providers in Joplin, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.