NPIMap

Organization Active NPI

Jump Start Counseling

  • Professional Counselor
  • Hawk Point, MO
National Provider Identifier
1952852071
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2002010834 Issued in MO
Legal business name
JUMP START COUNSELING
Practice address
1351 Prairie Rd
Hawk Point, MO 63349-2062
Phone
(636) 357-1996
NPI assigned
Oct 24, 2016
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Kyla Broeker, M.A. LPC
Title
Owner
Phone
(636) 357-1996

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2002010834 MO
Mental Health Counselor 101YM0800X 2002010834 MO
Professional Counselor 101YP2500X 2002010834 MO Primary

Addresses

Primary practice location

1351 Prairie Rd
Hawk Point, MO 63349-2062

Mailing address

1351 Prairie Rd
Hawk Point, MO 63349-2062
Phone (636) 357-1996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1952852071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 PRAIRIE RD",
            "city": "HAWK POINT",
            "state": "MO",
            "postal_code": "633492062",
            "telephone_number": "636-357-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 PRAIRIE RD",
            "city": "HAWK POINT",
            "state": "MO",
            "postal_code": "633492062",
            "telephone_number": "636-357-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "BROEKER",
        "authorized_official_first_name": "KYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-357-1996",
        "authorized_official_credential": "M.A. LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2002010834",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2002010834",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002010834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawk Point, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.