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

Active since March 10, 2025
1601 W HICKORY ST, NEVADA, MO 64772(417) 667-1677(417) 530-1479 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Supportive Spaces Counseling NPPES

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

SUPPORTIVE SPACES COUNSELING (NPI 1215736517) is a healthcare organization registered as a mental health in Nevada, Missouri and active in the NPI registry since March 2025. The organization lists Jennifer Doyle, Owner, as its authorized official.

NPPES Registry Identity

NPI1215736517
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSUPPORTIVE SPACES COUNSELING
Location Address1601 W HICKORY STNevada, MO 64772-1727
Mailing Address1601 W Hickory StNevada, MO 64772-1727 · (417) 667-1677 · Fax (417) 530-1479
Fax(417) 530-1479
Organization SubpartNo
Authorized OfficialJennifer DoyleOwner · (417) 448-7299
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
NPI 1215736517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1601 W HICKORY ST, Nevada, MO 64772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
1601 W HICKORY ST
NEVADA, MO 64772
Counselor (Professional)
1601 W HICKORY ST
NEVADA, MO 64772
Counselor (Mental Health)
1601 W HICKORY ST
NEVADA, MO 64772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215736517, enumerated 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.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.