Individual provider Active NPI

Sean Clouse, PHD

  • Counseling Psychologist
  • Columbia, MO
National Provider Identifier
1902428790
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2012033766 Issued in MO
Practice address
601 W Nifong Blvd Ste 1B
Columbia, MO 65203-6804
Phone
(573) 586-3204
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2012033766 MO Primary

Addresses

Primary practice location

601 W Nifong Blvd Ste 1B
Columbia, MO 65203-6804

Mailing address

1427 Coachlamp CT
Columbia, MO 65203-1971
Phone (573) 586-3204

Other names 1

  • Dr. Sean Livengood-Clouse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003584 MO Practitioner - Clinical Psychologist 6901339209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Counseling Hub LLCGroup PAC ID 1052843273, 6 clinicians

Practice addresses (Care Compare)

601 W Nifong Blvd
Suite 1B
Columbia, MO 65203-6804
Phone 57358632042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2012033766MOMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Hub LLC CurrentSince Oct 16, 2024 Accepting new patients

Locations

601 W Nifong Blvd
Ste 1B
Columbia, MO 65203
Phone (573) 442-9669

2804 Forum Blvd
Ste 4
Columbia, MO 65203
Phone (573) 446-5034

2701 W Edgewood Dr
Ste 106
Jefferson City, MO 65109
Phone (573) 586-3204

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1902428790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 COACHLAMP CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031971",
            "telephone_number": "573-586-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W NIFONG BLVD STE 1B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036804",
            "telephone_number": "573-586-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2012033766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEAN",
            "last_name": "LIVENGOOD-CLOUSE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.