Active NPI
Jeannine Lisa Liebmann, MA. LPC
- Professional Counselor
- Pacific, MO
National Provider Identifier
1912238254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005030086-LICENSED
- Practice address
- 791 New Beginnings Dr.
Pacific, MO 63069 - Phone
- (314) 537-3548
- NPI assigned
- Jan 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2005030086-LICENSED | MO | Primary |
Addresses
Primary practice location
791 New Beginnings Dr.
Pacific, MO 63069
Mailing address
313 Walloch Dr.
Eureka, MO 63025
Phone (314) 537-3548
Other names 1
- Miss Jeannine Koenig
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005030086-LICENSED | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1912238254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 WALLOCH DR.",
"city": "EUREKA",
"state": "MO",
"postal_code": "63025",
"telephone_number": "314-537-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 NEW BEGINNINGS DR.",
"city": "PACIFIC",
"state": "MO",
"postal_code": "63069",
"telephone_number": "314-537-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBMANN",
"first_name": "JEANNINE",
"middle_name": "LISA",
"name_prefix": "Mrs.",
"credential": "MA. LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2005030086-LICENSED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNINE",
"last_name": "KOENIG",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pacific, MO
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- Jane E Knerr
- Leo J Burke DDS PC (Osage Dental Group)
- Matthew Ryan Leonard, DPT, DC
- Tina Lusk, DNP, APRN, PMHNP-BC
- Debra Kay Lyons, LPC
- Kathleen McAuliffe, DPT
- Mary Melillo
- Melissa Georgevitch Chiropractic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.