Monique F Schrader, MALPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2005038682 Issued in MO

Practice address

15899 Logans Lake Rd
Boonville, MO 65233-2866

Phone

(660) 882-2333

Fax

(660) 882-2333

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Ms. Monique Frazier Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2007.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1891758736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16942 HOLIDAY CIR",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652333529",
            "telephone_number": "660-882-2333",
            "fax_number": "660-882-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15899 LOGANS LAKE RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332866",
            "telephone_number": "660-882-2333",
            "fax_number": "660-882-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "MONIQUE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "MALPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2005038682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOONVILLE LOCATION NPI",
            "identifier": "1538204904",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NPI",
            "identifier": "1649269622",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "FRAZIER",
            "prefix": "MS.",
            "credential": "MALPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Boonville, MO
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.