Individual provider Active NPI

Mary Lillian Kohler, MSW, LMSW

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1952283541
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025026258 Issued in MO
Practice address
19 E Walnut St Ste D
Columbia, MO 65203-4505
Phone
(573) 442-7232
Fax
(877) 307-8772
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2025026258 MO Primary

Addresses

Primary practice location

19 E Walnut St Ste D
Columbia, MO 65203-4505

Mailing address

3400 Balboa LN Apt 11
Columbia, MO 65203-3702
Phone (660) 234-2755

Other names 1

  • Lily Carlisi Kohler Other name

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

LicenseStateTypeSpecialty
2025026258MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Oak Center for DBT & Counseling Services, LLC Clinical CurrentSince Jul 28, 2025 Accepting new patients

Locations

19 E Walnut St
Ste D
Columbia, MO 65203
Phone (573) 268-4151

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1952283541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BALBOA LN APT 11",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033702",
            "telephone_number": "660-234-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E WALNUT ST STE D",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034505",
            "telephone_number": "573-442-7232",
            "fax_number": "877-307-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "MARY",
        "middle_name": "LILLIAN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025026258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "KOHLER",
            "middle_name": "CARLISI",
            "credential": "MSW, LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.