Southern Light Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOUTHERN LIGHT COUNSELING

Practice address

610 E Battlefield St # 113a
Springfield, MO 65807-4806

Phone

(417) 850-4555

Fax

(417) 777-7017

NPI assigned

Oct 21, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Cindy Drake

Title

Administrative Director

Phone

(417) 850-4555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Alfredo Garcia Jr., PLPC, NBCC

  • Professional Counselor
  • Springfield, MO
  • NPI 1750979704
  Medicare reassignment NPD
• Gail Roberson-Fatino, LPC

  • Professional Counselor
  • Nixa, MO
  • NPI 1497730568
  NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1891412797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E BATTLEFIELD ST # 113A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074806",
            "telephone_number": "417-850-4555",
            "fax_number": "417-777-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BATTLEFIELD ST # 113A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074806",
            "telephone_number": "417-850-4555",
            "fax_number": "417-777-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIGHT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "417-850-4555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaysha Sorrell, CD
• David Augusto Sotello Aviles, MD
• Edgardo Andres Soto Ramirez
• Brian Dale South
• Kelsey Lea Southard, NNP
• Southerncare Inc
• Southwest Center for Independent Living
• Southwest Center for Independent Living
• Southwest Center for Independent Living
• Southwest Childrens LLC

• Professional Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.