Gold Leaf Enterprises, Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

GOLD LEAF ENTERPRISES, INC

Practice address

1166 Greenway Dr Ste B5
Jackson, MO 63755-2921

Phone

(573) 866-9900

NPI assigned

Nov 27, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sherri G Coomer

Title

President

Phone

(573) 243-9900

Specialties & licenses 2

Addresses

Tax ID family

Gold Leaf Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gold Leaf Enterprises Inc

  • Mental Health Counselor
  • Jackson, MO
  • NPI 1326200056
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Renee Ivy

  • Mental Health Counselor
  • Jackson, MO
  • NPI 1457506073
  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1861674350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 GREENWAY DR STE B5",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552921",
            "telephone_number": "573-866-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 GREENWAY DR STE B5",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552921",
            "telephone_number": "573-866-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD LEAF ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "COOMER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-243-9900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Gibbs
• Kimberly Ann Glastetter-Brown, MSW
• Colleen Glenn
• Laura E Glueck, DO
• Gold Leaf Enterprises Inc
• Tamara L Goldrick, LCSW
• Benjamin Gail Goodier, DMD
• Grace Reliant Healthcare
• Gregory Erickson, LLC
• Susannah Grovenor, SLP

• Counselor in Jackson, MO
• Providers in Jackson, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.