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Active NPI 1902806581 Individual Practitioner Male Practitioner

Phyllis M Reesman , LCSW

Counselor • Boonville, MO

Professional Overview & Biography Verified Profile Summary

Phyllis Reesman, LCSW is a registered healthcare professional specializing in Counselor in Boonville, MO. Practice services are available at 15899 LOGANS LAKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15899 Logans Lake Rd

Boonville, MO 652332866

Telephone 6608822333
Fax 5508822333
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Boonville, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Boonville, MO (1111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License MO 000596

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Boonville Npi
1538204904 (MO)
Commercial Insurance / Payer ID Fei I.d. Number
3361 (MO)
Commercial Insurance / Payer ID First Health I.d. Number
5763918 (MO)
Commercial Insurance / Payer ID Group Billing Npi
1649269622 (MO)
Commercial Insurance / Payer ID Healthlink I.d. Number
203147 (MO)
Commercial Insurance / Payer ID Bcbs I.d. Number
22157 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1891758736

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2007

Registered at 15899 LOGANS LAKE RD, BOONVILLE, MO 652332866 (Tel: 6608822333)

📍
Updated Business Mailing Address July 13, 2007

Registered at 117 N GARTH AVE, COLUMBIA, MO 652034103 (Tel: 5734432204)

👤
Provider Name / Credentials Updated July 13, 2007

Recorded as PHYLLIS REESMAN, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2007

Counselor (License #000596 in MO)

🟢
Initial NPI Registration & Enumeration July 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902806581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2005
Last Update: July 13, 2007
Sole Proprietor: No

Mailing Address

117 N Garth Ave

Columbia, MO 652034103

Phone: 5734432204

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.