Jenifer Dawn Sturdivan, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2003031833 Issued in MO

Practice address

3800 S National Ave Ste 770
Springfield, MO 65807-5283

Phone

(417) 269-6891

Fax

(417) 269-5595

NPI assigned

Nov 15, 2010

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Touchstone Counseling LLC

  • Professional Counselor
  • Ozark, MO
  • NPI 1013054733
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1952602468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 770",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075283",
            "telephone_number": "417-269-6891",
            "fax_number": "417-269-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURDIVAN",
        "first_name": "JENIFER",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003031833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen G Stufflebam, CRNA
• Matthew Douglas Stunkel, DDS
• Adam Stuppy, MD
• Gerri Lynn Stuppy, MSN-FNP-C
• Mary R. Sturdevant, RN
• Brittany Leann Sturgeon, PHARMD
• Viswanathan Subramanian, MD
• Shelby Ann Sudholt, MS CCC SLP
• Ewell Brent Sugg, MS, LPC
• Daniel Suh, DC

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

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