Upper Room Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011014526 Issued in MO

Legal business name

UPPER ROOM COUNSELING SERVICES LLC

Practice address

120 1/2 W Main St
Bowling Green, MO 63334-1642

Phone

(573) 470-2656

Fax

(573) 324-5504

NPI assigned

Apr 25, 2014

Last updated

May 16, 2014By 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

Michele Nacke, LPCNPI 1720376916

Title

Licensed Professional Counselor

Phone

(417) 944-1440

Specialties & licenses 1

Addresses

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.

• Michele Nacke, LPC

  • Professional Counselor
  • Bowling Green, MO
  • NPI 1720376916
  NPD (past) Authorized official

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1891115036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18820 PIKE 9230",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633343853",
            "telephone_number": "573-470-2656",
            "fax_number": "573-324-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1/2 W MAIN ST",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633341642",
            "telephone_number": "573-470-2656",
            "fax_number": "573-324-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER ROOM COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "NACKE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "417-944-1440",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011014526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessalyn Shipp
• Megan Smelser, DPT
• Taylor Sprenger
• Dorothy E Stege, MD
• Margaret Linda Teague, LPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0145)
• Stephanie Diane Walker, FNP-C
• Lacy Welch, COTA
• Carrie Ann Wells, LCSW
• Abigail Wheeler, LPTA

• Professional Counselor in Bowling Green, MO
• Providers in Bowling Green, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.