Active NPI
Diane Louise La Mar, LPC
- Mental Health Counselor
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000750
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000750 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Therapies, LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.