Organization Active NPI

Counseling Concepts

Doing business as Lizabeth L Werner LLC

  • Clinical Social Worker
  • Washington, MO
National Provider Identifier
1972611010
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2000172758 Issued in MO
Legal business name
COUNSELING CONCEPTS
Doing business as
Lizabeth L Werner LLC
Practice address
200 W 12TH Street
Washington, MO 63090
Phone
(636) 390-4422
Fax
(636) 390-4449
NPI assigned
Aug 28, 2006
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Lizabeth L Werner, LCSWNPI 1720196835
Title
Owner
Phone
(636) 390-4422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2000172758 MO
Clinical Social Worker 1041C0700X 2000172758 MO Primary

Addresses

Primary practice location

200 W 12TH Street
Washington, MO 63090

Mailing address

PO Box 161
Villa Ridge, MO 63089
Phone (636) 390-4422

Other identifiers 2

IdentifierTypeStateIssuer
494745615MedicaidMO
1972611010MedicaidMO

Other names 1

  • Lizabeth L Werner LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070430000145 MO Part B Supplier - Clinic/Group Practice 3274639752 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, MO

National Provider Directory

National Provider Directory

Locations

1190 Jefferson St
Washington, MO 63090
Phone (636) 432-1992

1190 Jefferson St
Ste 2
Washington, MO 63090
Phone (636) 399-1875

200 W 12th St
Washington, MO 63090
Phone (636) 390-4422

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1972611010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "VILLA RIDGE",
            "state": "MO",
            "postal_code": "63089",
            "telephone_number": "636-390-4422",
            "fax_number": "636-390-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 12TH STREET",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-390-4422",
            "fax_number": "636-390-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "LIZABETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-390-4422",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "2000172758",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2000172758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494745615",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972611010",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lizabeth L Werner LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.