KOURTNEY BUCKALLEW
NPI 1114569027
Counselor in Kirksville, MO

Active since October 11, 2019
1101 JAMISON ST, KIRKSVILLE, MO 63501(660) 665-1962 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2024, Oct 11, 2019 (2 updates tracked since 2019).

About Kourtney Buckallew NPPES

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

KOURTNEY BUCKALLEW (NPI 1114569027) is an individual counselor in Kirksville, Missouri and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1114569027
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKOURTNEY BUCKALLEW
Location Address1101 JAMISON STKirksville, MO 63501-3943
Mailing Address118 N 2nd St Ste 200Saint Charles, MO 63301-2894 · (636) 224-1210
Sole ProprietorNo
Enumeration DateOctober 11, 2019
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1114569027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1101 JAMISON ST, Kirksville, MO 63501

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.

Registered Nurse
1101 JAMISON ST
KIRKSVILLE, MO 63501
Licensed Practical Nurse
1101 JAMISON ST
KIRKSVILLE, MO 63501
Counselor (Addiction (Substance Use Disorder))
1101 JAMISON ST
KIRKSVILLE, MO 63501
Social Worker (Clinical)
1101 JAMISON ST
KIRKSVILLE, MO 63501
Counselor (Professional)
1101 JAMISON ST
KIRKSVILLE, MO 63501
Community/Behavioral Health
1101 JAMISON ST
KIRKSVILLE, MO 63501
Behavior Analyst
1101 JAMISON ST
KIRKSVILLE, MO 63501
Registered Nurse
1101 JAMISON ST
KIRKSVILLE, MO 63501

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 Kourtney Buckallew's NPI number?

The NPI number for Kourtney Buckallew is 1114569027. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Where is Kourtney Buckallew located?

Kourtney Buckallew practices at 1101 Jamison St, Kirksville, MO 63501. The listed phone number is (660) 665-1962.

What is Kourtney Buckallew's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kourtney Buckallew was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.