Provider Demographics
NPI:1851961965
Name:JAMI OBERMANN COUNSELING
Entity Type:Organization
Organization Name:JAMI OBERMANN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OBERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:573-275-6182
Mailing Address - Street 1:211 COUNTY HIGHWAY 311
Mailing Address - Street 2:
Mailing Address - City:SCOTT CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63780-7105
Mailing Address - Country:US
Mailing Address - Phone:573-275-6182
Mailing Address - Fax:
Practice Address - Street 1:211 COUNTY HIGHWAY 311
Practice Address - Street 2:
Practice Address - City:SCOTT CITY
Practice Address - State:MO
Practice Address - Zip Code:63780-7105
Practice Address - Country:US
Practice Address - Phone:573-275-6182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490043148Medicaid
MO109970043OtherMEDICARE