Individual provider Active NPI

Ladonna Lee Beachy, LCSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1881899763
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005019515 Issued in MO
Practice address
Buttonwood Business Center - Wren Counseling Solutions
3610 Buttonwood Dr. Ste 200
Columbia, MO 65201
Phone
(573) 886-8900
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2005019515 MO Primary

Addresses

Primary practice location

Buttonwood Business Center - Wren Counseling Solutions
3610 Buttonwood Dr. Ste 200
Columbia, MO 65201

Mailing address

3610 Buttonwood Dr. Ste. 200
Columbia, MO 65201
Phone (573) 615-4320

Other identifiers 1

IdentifierTypeStateIssuer
497248104MedicaidMO

Other names 1

  • Ladonna Lee Zimmerman Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005019515MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1881899763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 BUTTONWOOD DR. STE. 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-615-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUTTONWOOD BUSINESS CENTER - WREN COUNSELING SOLUTIONS",
            "address_2": "3610 BUTTONWOOD DR. STE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-886-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHY",
        "first_name": "LADONNA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005019515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497248104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADONNA",
            "last_name": "ZIMMERMAN",
            "middle_name": "LEE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 24, 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.