Active NPI
Cherri Lynne Stockstill, LPC, NCC
- Professional Counselor
- Springfield, MO
National Provider Identifier
1962634782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2009024321
- Practice address
- 1722 South Glenstone Ave, Suite J-11
Springfield, MO 65804 - Phone
- (417) 597-3446
- NPI assigned
- Aug 12, 2009
- Last updated
- Jun 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 200904321 | MO | |
| Professional Counselor | 101YP2500X | 2009024321 | MO | Primary |
Addresses
Primary practice location
1722 South Glenstone Ave, Suite J-11
Springfield, MO 65804
Mailing address
PO Box 1165
Nixa, MO 65714-1165
Phone (417) 597-3446
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1470183 | Medicaid | MO | |
| 1962634782 | Medicaid | MO | |
| 1470167 | Medicaid | MO | |
| 1770855306 | Other | MO | REIGNHEART COUNSELING |
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 |
|---|---|---|---|
| 2009024321 | MO | MD | Professional Counselor |
| 200904321 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reignheart Agency | Professional | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1962634782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1165",
"city": "NIXA",
"state": "MO",
"postal_code": "657141165",
"telephone_number": "417-597-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 SOUTH GLENSTONE AVE, SUITE J-11",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-597-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKSTILL",
"first_name": "CHERRI",
"middle_name": "LYNNE",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "200904321",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2009024321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1470183",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962634782",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1470167",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REIGNHEART COUNSELING",
"identifier": "1770855306",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.