SUPPORTIVE SPACES COUNSELING
NPI 1215736517
Counselor - Mental Health in Nevada, MO

NPI Status: Active since March 10, 2025

Contact Information

1601 W HICKORY ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-1677
Fax: (417) 530-1479

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  • Organization
  • Counselor
  • Mental Health

About SUPPORTIVE SPACES COUNSELING

This page provides the complete NPI Profile along with additional information for Supportive Spaces Counseling, a provider established in Nevada, Missouri operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1215736517 assigned on March 2025. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jennifer Doyle Lpc (Owner)

NPI
1215736517
Provider Name
SUPPORTIVE SPACES COUNSELING
Entity Type
Organization
Location Address
1601 W HICKORY ST NEVADA, MO 64772
Location Phone
(417) 667-1677
Location Fax
(417) 530-1479
Mailing Address
1601 W HICKORY ST NEVADA, MO 64772
Mailing Phone
(417) 667-1677
Mailing Fax
(417) 530-1479
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2025
Last Update Date
03-10-2025
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A mental health counselor like Supportive Spaces Counseling provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER DOYLE LPC

Authorized Official Title
OWNER
Authorized Official Phone
(417) 448-7299

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215736517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251431252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 4 + 3 + 1 + 2 + 5 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1215736517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033980826FRIENDSHIP HOUSE
Organization
Counselor (Mental Health)1601 W HICKORY ST
NEVADA, MO 64772
(417) 448-9949
1184014946 CHRISTINE RENEE WHITWORTH LPC
Individual
Counselor (Professional)1601 W HICKORY ST
NEVADA, MO 64772
(174) 489-9949
1295291672MS. JENNIFER K DOYLE LPC
Individual
Counselor (Mental Health)1601 W HICKORY ST
NEVADA, MO 64772
(417) 448-7299

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215736517, enumerated in the NPI registry as an "organization" on March 10, 2025

The provider is located at 1601 W Hickory St Nevada, Mo 64772 and the phone number is (417) 667-1677

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on March 10, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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