{"npi":"1023255106","type":"NPI-2","status":"active","name":{"display":"Counseling Associates Of The Four States, LLC","other":[],"organization_name":"COUNSELING ASSOCIATES OF THE FOUR STATES, LLC","authorised_official":"Jacob Conklin"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"705 W 26TH ST","city":"JOPLIN","state":"MO","postal_code":"648041904","country_code":"US","phone":"4176279994","fax":"4176279995"},{"purpose":"MAILING","street_1":"705 W 26TH ST","city":"JOPLIN","state":"MO","postal_code":"648041904","country_code":"US","phone":"4176279994","fax":"4176279995"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130116000208","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MO","pac_id":"7012160435"}]},"enumeration_date":"2009-01-12","last_updated":"2025-11-11","_meta":{"source":"NPPES","snapshot_date":"2025-11-11","doc_url":"https://findmynpi.com/api"}}