Anodyne Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002690 Issued in MO

Legal business name

ANODYNE THERAPY, LLC

Practice address

1007 N College Ave
Ste #1
Columbia, MO 65201-4794

Phone

(573) 529-0732

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kittie Ann Rogers, LCSWNPI 1144229428

Title

LCSW

Phone

(573) 529-0732

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kittie A Rogers, MSW, LCSW

  • Counselor
  • Columbia, MO
  • NPI 1144229428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1942577028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N WILLIAM ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015654",
            "telephone_number": "573-529-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N COLLEGE AVE",
            "address_2": "STE #1",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014794",
            "telephone_number": "573-529-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANODYNE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KITTIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "573-529-0732",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "002690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497810218",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Anic-Reuter
• Mary Ankeney
• Todd M Ankenman, PT
• Annies Angels Adult Daycare Center LLC
• Annies Angels in Home Care LLC
• Nadia Gabrielle Anstaett
• Benjamin Kaullen Anthony
• Anju Raju Antony
• Anxiety & Depression Clinic of Columbia
• Alan Garvin Anz, MD

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.