NEIL R CORRISTON
NPI 1497688642
Counselor - Professional in Riverside, MO
Active since June 06, 2026
About Neil R Corriston NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEIL R CORRISTON (NPI 1497688642) is an individual professional provider in Riverside, Missouri, licensed in Missouri (2026019956) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1497688642
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNEIL R CORRISTON
Location Address5112 NW GOWER CTRiverside, MO 64150-9581
Mailing Address5112 Nw Gower CtRiverside, MO 64150-9581 · (816) 506-8254
Phone(816) 506-8254
Sole ProprietorNo
Enumeration DateJune 6, 2026
NPPES CertifiedJune 6, 2026
✔ NPI 1497688642 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 · 2026019956
5112 NW GOWER CT, Riverside, MO 64150
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497688642, enumerated as an "individual" on June 06, 2026.
The provider is located at 5112 NW GOWER CT RIVERSIDE, MO 64150 and the phone number is (816) 506-8254.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
