MR. LESLIE D MOONEYHAM (NPI# 1326130873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326130873 |
| Entity Type | Individual |
| Full Name | MR. LESLIE D MOONEYHAM |
| Credential | M.A., LPC |
| Practice Address |
Rr 2 Box 2711 Wheatland MO 65779-9809 |
| Practice Telephone | 5732981786 |
| Practice Fax Number | 8883016832 |
| Mailing Telephone | 5732981786 |
| Mailing Fax Number | 8883016832 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2005024749 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 497430124 | 05 | |
| MO | 497430108 | 05 | |
| MO | 497430116 | 05 |
| Street Address |
RR 2 BOX 2711 |
| City | WHEATLAND |
| State | MO |
| Zip Code | 65779-9809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689761553 | Jonna J Mooneyham | Counselor | Rr 2 Box 2711, Wheatland, MO 65779-9809 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386728798 | St. Clair County Hospital District #1 | Clinic/Center | Hwy 54 East, Wheatland, MO 65779 | 2006-10-24 |
| 1184133126 | Wheatland R-ii School District | Local Education Agency (LEA) | 18808 State Highway 83, Wheatland, MO 65779-0068 | 2017-09-21 |
| 1861894321 | Seasons Changed Counseling LLC | Counselor | Rr 72 Box 1664, Wheatland, MO 65779-9706 | 2014-09-16 |
| 1649520420 | Shirley Rebekah Whitley | Counselor | Rr 2 Box 1664, Wheatland, MO 65779-9706 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073516 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St Ste B100, Wheatland, WY 82201-3201 | 2020-11-06 |
| 1356809032 | Cowboy Drug | Pharmacy | 977 Gilchrist St, Wheatland, WY 82201-2931 | 2019-03-12 |
| 1972086445 | Corinne Lauppe | Marriage & Family Therapist | 100 Wheatland Park Dr, Wheatland, CA 95692-9286 | 2018-09-11 |
| 1184133126 | Wheatland R-ii School District | Local Education Agency (LEA) | 18808 State Highway 83, Wheatland, MO 65779-0068 | 2017-09-21 |
| 1134668346 | Tammie Kennedy | Registered Nurse | 1550 Cedar St, Wheatland, WY 82201-2536 | 2017-02-21 |
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1275080012 | Nicole Drescher | Registered Nurse | 28 Rompoon Rd, Wheatland, WY 82201-9265 | 2016-09-09 |
| 1144674946 | Jennifer A Raser | Case Manager/Care Coordinator | 975 Gilchrist St, Wheatland, WY 82201-2931 | 2016-04-18 |
| 1932561214 | Sarah Miller | Social Worker | 907 19th St, Wheatland, WY 82201-2407 | 2016-03-24 |
| 1194101436 | Rebecca Hampton | Community Health Worker | 1301 11th St, Wheatland, WY 82201-2317 | 2015-08-10 |
| Find all providers in WHEATLAND | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861894321 | Seasons Changed Counseling LLC | Counselor | Rr 72 Box 1664, Wheatland, MO 65779-9706 | 2014-09-16 |
| 1902417231 | Jones Counseling, LLC | Counselor | 602 9th St, Wheatland, WY 82201-2906 | 2020-08-11 |
| 1982874384 | Dawn Michelle Hennigan | Counselor | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | 2008-03-03 |
| 1831311760 | Randall Alan Basden | Counselor | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | 2007-05-02 |
| 1689761553 | Jonna J Mooneyham | Counselor | Rr 2 Box 2711, Wheatland, MO 65779-9809 | 2006-10-10 |
| 1902806383 | Brenda Catherine Kofford | Counselor | 1954 W Mariposa Pkwy, Wheatland, WY 82201-3102 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1225637838 | Summer Lynn Mcgowan | Counselor | 12040 Southern Breeze, Dexter, MO 63841-2890 | 2020-10-23 |
| 1578162434 | Laquesha Boston | Counselor | 14463 Gravelle Ln, Florissant, MO 63034-2209 | 2020-10-21 |
| 1013515725 | Tim Gravier | Counselor | 770 Aramis Dr, Creve Coeur, MO 63141-7309 | 2020-10-14 |
| 1790383651 | Oasis Counseling and Enrichment | Counselor | 201 Main St Ste 9, Parkville, MO 64152-3645 | 2020-10-13 |
| 1912505082 | Rebekah Sue Weidenaar | Counselor | 503 W Reed St, Moberly, MO 65270-1509 | 2020-10-12 |
| 1407454580 | Ruth A Stoan | Counselor | 1308 W Waldo Ave, Independence, MO 64050-2544 | 2020-10-12 |
| 1679170971 | Avery C Lough | Counselor | 627 E Springfield St, Saint James, MO 65559-1655 | 2020-10-08 |
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| 1730786740 | Julie Lynn Perkins | Counselor | 26394 Highway C, Salem, MO 65560-8655 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.