Individual provider Active NPI

Deborah Oliver, LPC

  • Professional Counselor
  • Cape Girardeau, MO
National Provider Identifier
1881007961
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2001015900 Issued in MO
Practice address
2909 Independence St
Cape Girardeau, MO 63703-5044
Phone
(573) 803-1402
Fax
(573) 803-1405
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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 2001015900 MO Primary

Addresses

Primary practice location

2909 Independence St
Cape Girardeau, MO 63703-5044

Mailing address

2909 Independence St
Cape Girardeau, MO 63703-5044
Phone (573) 803-1402

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106001582 MO Practitioner - Mental Health Counselor 2163950056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

1015 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7777

1017 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-6030

1019 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7702

1106 N Main St
Missouri Delta Urology
Sikeston, MO 63801-5046
Phone (573) 471-8656

1118 N Main St
Sikeston, MO 63801-5046
Phone (573) 471-4417

1126 N Main St
Sikeston, MO 63801-5046
Phone (573) 471-4312

125 Plaza Dr
Sikeston, MO 63801-5136
Phone (573) 472-7124

135 Plaza Dr
Sikeston, MO 63801-5148

201 Plaza Dr
Sikeston, MO 63801-5110

201 Plaza Dr
Suite C
Sikeston, MO 63801-5105
Phone (573) 481-1072

203 Plaza Dr
Sikeston, MO 63801-5105
Phone (573) 475-6488

6468 State Hwy 77
Benton, MO 63736-8237
Phone (573) 545-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001015900MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince Oct 31, 2024 Accepting new patients
Missouri Delta Medical Center CurrentSince Oct 31, 2024 Accepting new patients

Locations

6468 State Highway 77
Benton, MO 63736
Phone (573) 545-3565

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1881007961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035044",
            "telephone_number": "573-803-1402",
            "fax_number": "573-803-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "DEBORAH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001015900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.