Active NPI
Jeannie E Haupt, LPC
- Counselor
- Waynesville, MO
National Provider Identifier
1942238076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1999142232
- Practice address
- 119 N Benton St
Waynesville, MO 65583-2501 - Phone
- (573) 433-2833
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1999142232 | MO | Primary |
Addresses
Primary practice location
119 N Benton St
Waynesville, MO 65583-2501
Mailing address
6413 Eagle Xing
Osage Beach, MO 65065-9812
Phone (573) 579-6536
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495719825 | Medicaid | MO | |
| 561886 | Other | HEALTHLINK | |
| 188208 | Other | MO | BC/BS |
Other names 1
- Miss Jeannie E Dunn
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 |
|---|---|---|---|
| 1999142232 | MO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benton Street Counseling LLC | Past | Accepting new patients | |
| Benton Street Counseling LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Rolla, MO
- NPI 1578053955
-
- Mental Health Counselor
- Waynesville, MO
- NPI 1932597721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1942238076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6413 EAGLE XING",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650659812",
"telephone_number": "573-579-6536",
"fax_number": "573-579-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N BENTON ST",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655832501",
"telephone_number": "573-433-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPT",
"first_name": "JEANNIE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "1999142232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495719825",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "561886",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "188208",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNIE",
"last_name": "DUNN",
"middle_name": "E",
"prefix": "MISS",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.