NPIMap

Organization Active NPI

Nixa Behavioral Services, LLC

  • Professional Counselor
  • Nixa, MO
National Provider Identifier
1952755019
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NIXA BEHAVIORAL SERVICES, LLC
Practice address
307 S West St
Nixa, MO 65714-8413
Phone
(417) 494-5031
Fax
(417) 551-4146
NPI assigned
Apr 14, 2016
Last updated
Jan 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Robert Spore
Title
Director of Operations
Phone
(417) 494-5031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

307 S West St
Nixa, MO 65714-8413

Mailing address

307 S West St
Nixa, MO 65714-8413
Phone (417) 494-5031

National Provider Directory

National Provider Directory

Locations

202 S West St
Ste 4
Nixa, MO 65714
Phone (417) 494-5031

307 S West St
Nixa, MO 65714
Phone (417) 413-3232

380 E State Highway CC
Ste F101
Nixa, MO 65714
Phone (417) 770-4466

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1952755019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S WEST ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148413",
            "telephone_number": "417-494-5031",
            "fax_number": "417-551-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S WEST ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148413",
            "telephone_number": "417-494-5031",
            "fax_number": "417-551-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIXA BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SPORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "417-494-5031"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.