Active NPI
Renee Lynn Mapes, PH.D.
- Counseling Psychologist
- Columbia, MO
National Provider Identifier
1972811826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2010030787
- Practice address
- 3407 Berrywood Dr.
Suite 200
Columbia, MO 65201 - Phone
- (573) 443-1177
- Fax
- (573) 499-1564
- NPI assigned
- Sep 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2010030787 | MO | Primary |
Addresses
Primary practice location
3407 Berrywood Dr.
Suite 200
Columbia, MO 65201
Mailing address
PO Box 319
Ashland, MO 65010-0319
Phone (573) 424-5305
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010030787 | MO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1972811826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 319",
"city": "ASHLAND",
"state": "MO",
"postal_code": "650100319",
"telephone_number": "573-424-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 BERRYWOOD DR.",
"address_2": "SUITE 200",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-443-1177",
"fax_number": "573-499-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAPES",
"first_name": "RENEE",
"middle_name": "LYNN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "2010030787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.