Individual provider Active NPI

Amy Wilks Sausaman

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1871101543
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
201 W Broadway Ste F
Columbia, MO 65203-3842
Phone
(573) 214-0436
Fax
(573) 442-0606
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

201 W Broadway Ste F
Columbia, MO 65203-3842

Mailing address

3 Bradley Rd
Morristown, NJ 07960-6954
Phone (865) 405-1538

Other practice location 1

601 W Nifong Blvd Ste 1B
Columbia, MO 65203-6804
Phone (573) 586-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Lawrence, PHD & Associates, LLC CurrentSince Oct 2, 2022 Accepting new patients
The Counseling Hub LLC Professional CurrentSince Aug 11, 2024 Accepting new patients

Locations

601 W Nifong Blvd
Ste 1B
Columbia, MO 65203
Phone (573) 442-9669

201 W Broadway
Ste F
Columbia, MO 65203
Phone (573) 214-0436

Organizations & group practices 2

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1871101543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRADLEY RD",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606954",
            "telephone_number": "865-405-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY STE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-214-0436",
            "fax_number": "573-442-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Nifong Blvd Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652036804",
            "country_code": "US",
            "telephone_number": "573-586-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUSAMAN",
        "first_name": "AMY",
        "middle_name": "WILKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 May 31, 2021; 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.