TRINITY LIFE COUNSELING
NPI 1306164785
Social Worker - Clinical in Stark City, MO

Active since May 11, 2010
16262 VIXEN RD, STARK CITY, MO 64866(417) 388-9872(888) 310-7328 Get Directions Write a Review

NPPES record last updated: June 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Trinity Life Counseling NPPES

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

TRINITY LIFE COUNSELING (NPI 1306164785) is a healthcare organization registered as a clinical in Stark City, Missouri and active in the NPI registry since May 2010. The organization maintains 2 additional practice locations and lists Cynthia Lungstrum, President, as its authorized official.

NPPES Registry Identity

NPI1306164785
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRINITY LIFE COUNSELING
Location Address16262 VIXEN RDStark City, MO 64866-7945
Mailing Address16262 Vixen RdStark City, MO 64866-7945 · (417) 388-9872 · Fax (888) 310-7328
Fax(888) 310-7328
Organization SubpartNo
Authorized OfficialCynthia LungstrumPresident · (417) 388-9872
Enumeration DateMay 11, 2010
Last NPPES UpdateJune 18, 2018
✔ NPI 1306164785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MO · 2003018404
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
16262 VIXEN RD, Stark City, MO 64866

Secondary Practice Locations 2

Location 1224 W Valley StGranby, MO 64844-7974 · Phone (417) 388-9872 · Fax (888) 310-7328
Location 22411 Fairlawn DrCarthage, MO 64836 · Phone (417) 388-9872 · Fax (888) 310-7328

Other Identifiers 1

Medicaid497388108MO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trinity Life Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Trinity Life Counseling, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1427129881
16262 VIXEN RD
Stark City, MO 64866
(417) 388-9872
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1114253721
2650 E 32ND ST SUITE 221
Joplin, MO 64804
(417) 623-1381
✔ PECOS✔ Accepts Medicare25 mi
Clinical Social Worker
NPI 1255940011
931 E 32ND ST
Joplin, MO 64804
(417) 347-4374
✔ PECOS26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Trinity Life Counseling's NPI number?

The NPI number for Trinity Life Counseling is 1306164785. It was assigned to this organization in the NPPES registry on May 11, 2010.

Where is Trinity Life Counseling located?

Trinity Life Counseling is located at 16262 Vixen Rd, Stark City, MO 64866. The listed phone number is (417) 388-9872.

What is Trinity Life Counseling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Trinity Life Counseling enrolled in Medicare?

Yes. Trinity Life Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Trinity Life Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Trinity Life Counseling. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Trinity Life Counseling was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.