Individual provider Active NPI

Jean Kirch-Holliday, LPC

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1881112498
Registry record updated Oct 9, 2024
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
NPI assigned
Sep 4, 2017
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

201 W Broadway BLDG 2, Suite F
Columbia, MO 65203

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
I20241120003789 MO Practitioner - Mental Health Counselor 1850826355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chris Lawrence and Associates LLCGroup PAC ID 4486955036, 7 clinicians

Practice addresses (Care Compare)

201 W Broadway
Columbia, MO 65203-3842
Phone (573) 214-0436

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Lawrence, PHD & Associates, LLC CurrentSince Oct 13, 2024 Accepting new patients
Chris Lawrence and Associates, LLC. CurrentSince Dec 9, 2024 Accepting new patients

Locations

201 W Broadway
Ste 2F
Columbia, MO 65203
Phone (573) 214-0436

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": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1881112498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY BLDG 2, SUITE F",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCH-HOLLIDAY",
        "first_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-04",
        "last_updated": "2024-10-09",
        "certification_date": "2024-09-20",
        "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

Verify at the official NPI Registry.