Chrissom Maddux, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021009952 Issued in MO

Practice address

1801 E State Route K
West Plains, MO 65775-6616

Phone

(573) 686-4151

NPI assigned

Sep 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  Medicare reassignment NPD
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD
• Ozarks Medical Center

  • Adult Mental Health Clinic/Center
  • West Plains, MO
  • NPI 1649712712
  NPD

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1851875413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E STATE ROUTE K",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657756616",
            "telephone_number": "573-686-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E STATE ROUTE K",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657756616",
            "telephone_number": "573-686-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Porter Wagoner Blvd Ste 23",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657751826",
            "country_code": "US",
            "telephone_number": "801-477-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDUX",
        "first_name": "CHRISSOM",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021009952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Sue Lumbley, CRNA
• Jennifer Lundry, LMSW
• Caroline Lurie, OTR/L
• Lori G Macpherson, M.D.
• Jennifer Maddox
• Ricky Maggard
• Darrell F Mahan, LCSW
• Elizabeth W Mahan, LCSW
• Katie Kaleen Mahan, PHARM.D.
• Scott Mahan, PHARM. D.

• Professional Counselor in West Plains, MO
• Providers in West Plains, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.