Active NPI
A Place for Grace, LLC
- Professional Counselor
- Waynesville, MO
National Provider Identifier
1902094741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- A PLACE FOR GRACE, LLC
- Practice address
- 413 Historic 66 W
Waynesville, MO 65583 - Phone
- (573) 774-4198
- Fax
- (573) 774-4951
- NPI assigned
- Oct 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Fritchey, LPC
- Title
- Owner
- Phone
- (573) 774-4198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
413 Historic 66 W
Waynesville, MO 65583
Mailing address
413 Historic 66 W
Waynesville, MO 65583
Phone (573) 774-4198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504449208 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
413 Route 66 W
Waynesville, MO 65583
Phone (573) 774-4198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228694400000",
"number": "1902094741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 HISTORIC 66 W",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "65583",
"telephone_number": "573-774-4198",
"fax_number": "573-774-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 HISTORIC 66 W",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "65583",
"telephone_number": "573-774-4198",
"fax_number": "573-774-4951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A PLACE FOR GRACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-05",
"last_updated": "2008-12-08",
"status": "A",
"authorized_official_last_name": "FRITCHEY",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-774-4198",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504449208",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.