Amy Christeen Willard, PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2018045624 Issued in MO

Practice address

332 Stable LN
Wentzville, MO 63385-5447

Phone

(636) 332-4949

Fax

(636) 332-4941

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amy Christeen Babor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapeutic Horsemanship

  • Voluntary or Charitable Agency
  • Wentzville, MO
  • NPI 1881738896
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1912517632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RALEIGH HILL CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633857284",
            "telephone_number": "636-352-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 STABLE LN",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633855447",
            "telephone_number": "636-332-4949",
            "fax_number": "636-332-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "AMY",
        "middle_name": "CHRISTEEN",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2018045624",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018045624",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018045624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BABOR",
            "middle_name": "CHRISTEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cerrisa Patrice Whittier-Lewis, BSN
• Alison Wickenheiser, PT
• Nicholas Martin Wiegand, ATC, LAT
• Karen Marie Wiethuchter, MA, LPC
• Kacie-Lynn Wigger
• Lori D Willard
• Amy Willbanks, NP
• William E. Schultz, OD LLC
• Angela C Williams, WHNP-BC
• Elicia Williams, NURSE PRACTITIONER

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.