Active NPI
Magda W Romman
- Professional Counselor
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2020043202
- Practice address
- 636 W Republic Rd Ste F100
Springfield, MO 65807-5810 - Phone
- (417) 866-7773
- NPI assigned
- Feb 27, 2008
- Last updated
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 2007037770 | MO | |
| Professional Counselor | 101YP2500X | 2020043202 | MO | Primary |
Addresses
Primary practice location
636 W Republic Rd Ste F100
Springfield, MO 65807-5810
Mailing address
2488 S Gladia Dr
Rogersville, MO 65742-7503
Phone (417) 693-8587
Other practice location 1
1722 S Glenstone Ave
Suite TT
Springfield, MO 65804-1513
Phone (417) 881-2848
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | magda.romman@mcctherapy.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1864 S Kentwood Ave
Springfield, MO 65804-2323
Phone (417) 869-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007037770 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Crest Counseling Center, Inc. | Current | Accepting new patients | |
| McGuire Christian Counseling Inc. | Current | Accepting new patients | |
| Gateway Counseling Center, Inc. | Professional | Current | Accepting new patients |
Locations
1864 S Kentwood Ave
Springfield, MO 65804
Phone (417) 869-8400
636 W Republic Rd
Ste F100
Springfield, MO 65807
Phone (417) 862-8282
Interoperability endpoints
- magda.romman@mcctherapy.com
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, MO
- NPI 1659421931
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1912141789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1972772549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2488 S GLADIA DR",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657427503",
"telephone_number": "417-693-8587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 W REPUBLIC RD STE F100",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075810",
"telephone_number": "417-866-7773"
}
],
"practiceLocations": [
{
"address_1": "1722 S Glenstone Ave",
"address_2": "Suite TT",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658041513",
"country_code": "US",
"telephone_number": "417-881-2848",
"fax_number": "417-881-2640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMMAN",
"first_name": "MAGDA",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007037770",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020043202",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "magda.romman@mcctherapy.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business email",
"address_1": "636 W Republic Rd Ste F100",
"city": "Springfield",
"state": "MO",
"country_code": "US",
"postal_code": "658075810",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.