Active NPI
Adeline Sudhoff, LPC
- Professional Counselor
- Rolla, MO
National Provider Identifier
1962052092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2019035938
- Practice address
- 103 W 10TH St
Rolla, MO 65401-3247 - Phone
- (833) 338-7643
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2019035938 | MO | Primary |
Addresses
Primary practice location
103 W 10TH St
Rolla, MO 65401-3247
Mailing address
103 W 10TH St
Rolla, MO 65401-3247
Phone (573) 842-1680
Other practice location 1
704 Historic 66 W
Waynesville, MO 65583-2136
Phone (833) 338-4673
Other practice location 2
440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150 ext. 1370
Other names 1
- Adeline Limmex
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019035938 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Connections, LLC | Professional | Current | Accepting new patients |
Locations
103 W 10th St
Rolla, MO 65401
Phone (573) 433-4846
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.
-
- Professional Counselor
- Waynesville, MO
- NPI 1548686066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1962052092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013247",
"telephone_number": "573-842-1680",
"fax_number": "573-774-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 W 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013247",
"telephone_number": "833-338-7643"
}
],
"practiceLocations": [
{
"address_1": "704 Historic 66 W",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "MO",
"postal_code": "655832136",
"country_code": "US",
"telephone_number": "833-338-4673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 E Tampa St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658061131",
"country_code": "US",
"telephone_number": "417-831-0150 x1370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUDHOFF",
"first_name": "ADELINE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2019035938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADELINE",
"last_name": "LIMMEX",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.