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COUNTRYSIDE COUNSELING LLC
NPI 1891381216
Social Worker - Clinical in Springfield, MO

Active since December 19, 2020
313 SOUTH AVE STE 405, SPRINGFIELD, MO 65806(417) 597-4685(855) 437-0772 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2021, Dec 24, 2020, Dec 19, 2020 (3 updates tracked since 2020).

About Countryside Counseling Llc NPPES

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

COUNTRYSIDE COUNSELING LLC (NPI 1891381216) is a healthcare organization registered as a clinical in Springfield, Missouri and active in the NPI registry since December 2020. The organization lists Joshua Edward Freeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1891381216
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOUNTRYSIDE COUNSELING LLC
Location Address313 SOUTH AVE STE 405Springfield, MO 65806-2255
Mailing Address3036 W Countryside DrSpringfield, MO 65807-3936 · (417) 597-4685 · Fax (855) 437-0772
Phone(417) 597-4685
Fax(855) 437-0772
Organization SubpartNo
Authorized OfficialJoshua Edward FreemanOwner · (417) 597-4685
Enumeration DateDecember 19, 2020
Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1891381216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
313 SOUTH AVE STE 405, Springfield, MO 65806
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Other Identifiers 1

Medicaid1245796440MO

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

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 Countryside Counseling LLC's NPI number?

The NPI number for Countryside Counseling LLC is 1891381216. It was assigned to this organization in the NPPES registry on December 19, 2020.

Where is Countryside Counseling LLC located?

Countryside Counseling LLC is located at 313 South Ave Ste 405, Springfield, MO 65806. The listed phone number is (417) 597-4685.

What is Countryside Counseling LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Countryside Counseling LLC was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.