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Deactivated NPI 1376520221 Deactivated / Inactive NPI Female Practitioner

Amy K. Kiso Bledsoe , LPC, NCC

Counselor - Professional • Rolla, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amy Bledsoe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 30, 2005
NPI Deactivation Date August 14, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Amy Bledsoe, LPC, NCC was a registered Counselor - Professional practicing in Rolla, MO. Throughout an active medical career spanning 19 years, Amy Bledsoe provided care at the practice location at 901 N PINE ST until profile deactivation on 2024-08-14.

Practice Location & Contact Primary Location

Practice Address

901 N Pine St
Suite 307

Rolla, MO 654013141

Telephone 5739432303
Fax 5739432304
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
62 Specialists

Practicing in Rolla, MO (5929 Statewide)

Telehealth Adoption Rate
4.8% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2000170900

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners
Mary Fraley , PLPC

Counselor - Professional

NPI 1548475684
NPI 1861541757

Licensed Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 14, 2024

Record deactivated on August 14, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 901 N PINE ST, SUITE 307, ROLLA, MO 654013141 (Tel: 5739432303)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 659, BELLE, MO 650130659 (Tel: 5739432303)

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Provider Name / Credentials Updated July 08, 2007

Recorded as AMY BLEDSOE, LPC, NCC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #2000170900 in MO)

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Initial NPI Registration & Enumeration December 30, 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: 1376520221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2005
Last Update: July 08, 2007
Deactivation Date: August 14, 2024

Mailing Address

Po Box 659

Belle, MO 650130659

Phone: 5739432303

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.