Organization Active NPI

The Professional Counseling Group, Inc.

  • Clinical Social Worker
  • Dexter, MO
National Provider Identifier
1972642304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
003345 Issued in MO
Legal business name
THE PROFESSIONAL COUNSELING GROUP, INC.
Practice address
11437 S Magnolia Dr
Dexter, MO 63841-9401
Phone
(573) 624-6969
Fax
(573) 624-5882
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Daniel Melton Robinson, L.C.S.W., L.P.C.NPI 1144376013
Title
President
Phone
(573) 624-6969

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003345 MO Primary

Addresses

Primary practice location

11437 S Magnolia Dr
Dexter, MO 63841-9401

Mailing address

11437 S Magnolia Dr
P. O. Box 826
Dexter, MO 63841-9401
Phone (573) 624-6969

National Provider Directory

National Provider Directory
Tax ID family
Professional Counseling Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972642304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11437 S MAGNOLIA DR",
            "address_2": "P. O. BOX 826",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638419401",
            "telephone_number": "573-624-6969",
            "fax_number": "573-624-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 S MAGNOLIA DR",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638419401",
            "telephone_number": "573-624-6969",
            "fax_number": "573-624-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROFESSIONAL COUNSELING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MELTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-624-6969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W., L.P.C."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "003345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.