Individual provider Active NPI

Diane Louise La Mar, LPC

  • Mental Health Counselor
  • Columbia, MO
National Provider Identifier
1831231448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000750 Issued in MO
Practice address
1005 Cherry St
Suite 202B
Columbia, MO 65201-7930
Phone
(573) 443-4038
Fax
(573) 657-1125
NPI assigned
Feb 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000750 MO Primary

Addresses

Primary practice location

1005 Cherry St
Suite 202B
Columbia, MO 65201-7930

Mailing address

16471 S Hawkins Rd
Ashland, MO 65010-9328
Phone (573) 443-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000421 MO Practitioner - Mental Health Counselor 3678019023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 Winchester Dr
Columbia, MO 65202-3170

2100 E Broadway
Suite 206
Columbia, MO 65201-6082
Phone (573) 443-4038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000750MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapies, LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

2100 E Broadway
Ste 206
Columbia, MO 65201
Phone (573) 443-4038

1406 Missouri Blvd
Ste F
Jefferson City, MO 65109

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831231448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16471 S HAWKINS RD",
            "city": "ASHLAND",
            "state": "MO",
            "postal_code": "650109328",
            "telephone_number": "573-443-4038",
            "fax_number": "573-657-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CHERRY ST",
            "address_2": "SUITE 202B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017930",
            "telephone_number": "573-443-4038",
            "fax_number": "573-657-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA MAR",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "000750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.