Harly Blumhagen

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2019013996 Issued in MO

Practice address

201 W Broadway Ste 2F
Columbia, MO 65203-3842

Phone

(573) 214-0436

Fax

(573) 442-0606

NPI assigned

Feb 24, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Nurtured Alliance Counseling LLC

  • Professional Counselor
  • Columbia, MO
  • NPI 1245828417
  NPD Authorized official

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1861026346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY STE 2F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-214-0436",
            "fax_number": "573-442-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY STE 2F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-214-0436",
            "fax_number": "573-442-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMHAGEN",
        "first_name": "HARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2019013996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Jo Blomberg, APRN, CNP, RN
• Katherine Eggerman Blount, DO
• Lucas Richard Blount, M.D., M.P.H.
• Robin B. Blount, M.D.
• Heather Amanda Blumberg, LCSW
• Dennis Blust, LCSW
• Aniesh Bobba, M.B.B.S
• Ravi Kiran Bobba, MD
• William A Bockoven, PA-C
• Anna Boda, MD

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.