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JOHANNA MARIE WOMACK MA. LPC
NPI 1063721173
Counselor - Professional in Boonville, MO

Active since October 07, 2010
520 RYAN ST STE W, BOONVILLE, MO 65233(660) 882-7573 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2022, May 11, 2018 (2 updates tracked since 2018).

About Johanna Marie Womack Ma. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA MARIE WOMACK MA. LPC (NPI 1063721173) is an individual professional provider in Boonville, Missouri, licensed in Missouri (2010027678) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1063721173
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJOHANNA MARIE WOMACKCredential: MA. LPC
Location Address520 RYAN ST STE WBoonville, MO 65233-1894
Mailing Address1300 E Bradford PkwySpringfield, MO 65804-4264 · (417) 761-5000 · Fax (417) 761-5065
Phone(660) 882-7573
Sole ProprietorNo
Enumeration DateOctober 7, 2010
Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration
NPPES CertifiedAugust 22, 2022
✔ NPI 1063721173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2010027678
520 RYAN ST STE W, Boonville, MO 65233
Open in Google Maps ↗

Other Names 1

Former Name (1)Johanna Marie Cortis

Other Identifiers 1

Medicaid494287808MO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREL MASSEY MSW, LMSW
Social Worker (Clinical)
520 RYAN ST STE W
BOONVILLE, MO 65233
Cooper County (660) 882-7573
SHELBY A ANGEL MED, LPC
Counselor (Professional)
520 RYAN ST STE W
BOONVILLE, MO 65233
Cooper County (660) 882-7573
ROBIN B ROONEY MS, LMFT
Marriage & Family Therapist
520 RYAN ST STE W
BOONVILLE, MO 65233
Cooper County (660) 882-7573
MS. SHELBY B THOMPSON MSW, LMSW
Social Worker (Clinical)
520 RYAN ST STE W
BOONVILLE, MO 65233
Cooper County (660) 882-7573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Womack's NPI number?

The NPI number for Johanna Womack is 1063721173. It was assigned to this individual provider in the NPPES registry on October 7, 2010. The provider is also known as Johanna Marie Cortis.

Where is Johanna Womack located?

Johanna Womack practices at 520 Ryan St Ste W, Boonville, MO 65233. The listed phone number is (660) 882-7573.

What is Johanna Womack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Johanna Womack was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.