Individual provider Active NPI

Melissa Marie Kleinschmidt, MA, LPC

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1962619809
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005029326 Issued in MO
Practice address
3401 Berrywood Dr
Columbia, MO 65201-8372
Phone
(573) 777-7530
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2005029326 MO Primary

Addresses

Primary practice location

3401 Berrywood Dr
Columbia, MO 65201-8372

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 751-5214

Other identifiers 1

IdentifierTypeStateIssuer
497509505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229004194 MO Practitioner - Mental Health Counselor 7416392352 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Jan 24, 2024 Accepting new patients
Burrell, Inc. CurrentSince Dec 3, 2024 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
Burrell, Inc. CurrentSince Dec 3, 2024 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Jan 24, 2024 Accepting new patients
Good Samaritan Boys Ranch Past Accepting new patients

Locations

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

3401 Berrywood Dr
Ste 203
Columbia, MO 65201
Phone (573) 777-8330

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

2305 S Highway 65
Bldg A
Marshall, MO 65340
Phone (660) 886-7800

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

1300 E Bradford Pkwy
#H
Springfield, MO 65804

Organizations & group practices 7

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1962619809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-751-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018372",
            "telephone_number": "573-777-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINSCHMIDT",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005029326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497509505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.