About Face Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2010033339 Issued in MO

Legal business name

ABOUT FACE COUNSELING, LLC

Practice address

10213 Northwood Drive
Blackwell, MO 63626-9521

Phone

(314) 722-5880

NPI assigned

Jan 3, 2013

Last updated

Dec 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elma Katherine McBroom, LPCNPI 1003107236

Title

Owner/Therapist

Phone

(573) 202-9790

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Elma Katherine McBroom, LPC

  • Professional Counselor
  • Blackwell, MO
  • NPI 1003107236
  NPD Authorized official

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1962749424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10213 NORTHWOOD DRIVE",
            "city": "BLACKWELL",
            "state": "MO",
            "postal_code": "636269521",
            "telephone_number": "573-202-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10213 NORTHWOOD DRIVE",
            "city": "BLACKWELL",
            "state": "MO",
            "postal_code": "636269521",
            "telephone_number": "314-722-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT FACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "MCBROOM",
        "authorized_official_first_name": "ELMA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "573-202-9790",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010033339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003107236",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elma Katherine McBroom, LPC

• Professional Counselor in Blackwell, MO
• Providers in Blackwell, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.