Individual provider Active NPI

Douglas Roy Gere, PH.D., L.P.C.

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1972820991
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2002026433 Issued in MO
Practice address
2117 S Stewart Ave
Springfield, MO 65804-2548
Phone
(417) 885-0027
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2002026433 MO Primary

Addresses

Primary practice location

2117 S Stewart Ave
Springfield, MO 65804-2548

Mailing address

2117 S Stewart Ave
Springfield, MO 65804-2548
Phone (417) 885-0027

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

LicenseStateTypeSpecialty
2002026433MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Services, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1972820991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 S STEWART AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042548",
            "telephone_number": "417-885-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 S STEWART AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042548",
            "telephone_number": "417-885-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERE",
        "first_name": "DOUGLAS",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "PH.D., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002026433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 29, 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.

Verify at the official NPI Registry.