| Dipoto Counseling Group | |
|
9 Victory Dr Ste 3 Liberty MO 64068-3807 | |
| (816) 268-8501 | |
| (816) 452-5700 |
| Full Name | Dipoto Counseling Group |
|---|---|
| Speciality | Counselor |
| Location | 9 Victory Dr Ste 3, Liberty, Missouri |
| Authorized Official Name and Position | Marc C Dipoto (DIRECTOR) |
| Authorized Official Contact | 8162688501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dipoto Counseling Group 9 Victory Dr Ste 2b Liberty MO 64068-3807 Ph: (816) 268-8501 | Dipoto Counseling Group 9 Victory Dr Ste 3 Liberty MO 64068-3807 Ph: (816) 268-8501 |
| NPI Number | 1649453663 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 05/09/2018 |
| Medicare PECOS PAC ID | 8729130778 |
|---|---|
| Medicare Enrollment ID | O20090722000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649453663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Catherine A Landregan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982857819 PECOS PAC ID: 5294877957 Enrollment ID: I20100119000785 |
| Provider Name | Denise Diane Kamm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881075885 PECOS PAC ID: 6103139977 Enrollment ID: I20150722005468 |
| Provider Name | Joy Elise Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356754378 PECOS PAC ID: 2769890896 Enrollment ID: I20210409000814 |
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