NEAL EVAN DESHA MED, LPC
NPI 1063979474
Counselor - Professional in Springfield, MO

Active since February 22, 2019
440 S MARKET AVE, SPRINGFIELD, MO 65806(573) 821-3513 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2022, Oct 21, 2021, Feb 22, 2019 (3 updates tracked since 2019).

About Neal Evan Desha Med, Lpc NPPES

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

NEAL EVAN DESHA MED, LPC (NPI 1063979474) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2004014921) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1063979474
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNEAL EVAN DESHACredential: MED, LPC
Location Address440 S MARKET AVESpringfield, MO 65806-2026
Mailing Address1624 S Raford DrSpringfield, MO 65809-2336 · (573) 821-3513
Sole ProprietorYes
Enumeration DateFebruary 22, 2019
Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1063979474 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 · 2004014921
440 S MARKET AVE, Springfield, MO 65806

Other Identifiers 1

Other14407460MO · Caqh

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
440 S MARKET AVE
SPRINGFIELD, MO 65806
Social Worker (Clinical)
440 S MARKET AVE
SPRINGFIELD, MO 65806
Social Worker
440 S MARKET AVE
SPRINGFIELD, MO 65806
Counselor (Mental Health)
440 S MARKET AVE
SPRINGFIELD, MO 65806
Social Worker
440 S MARKET AVE
SPRINGFIELD, MO 65806
Psychiatric Residential Treatment Facility
440 S MARKET AVE
SPRINGFIELD, MO 65806
Psychiatry & Neurology (Child & Adolescent Psychiatry)
440 S MARKET AVE
SPRINGFIELD, MO 65806
Psychiatry & Neurology (Child & Adolescent Psychiatry)
440 S MARKET AVE
SPRINGFIELD, MO 65806

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 Neal Desha's NPI number?

The NPI number for Neal Desha is 1063979474. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is Neal Desha located?

Neal Desha practices at 440 S Market Ave, Springfield, MO 65806. The listed phone number is (573) 821-3513.

What is Neal Desha'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 Neal Desha was last updated on August 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.