Healthcare Provider Details

I. General information

NPI: 1134143159
Provider Name (Legal Business Name): RICHARD PAUL TRAGASZ L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4304 S BEARFIELD RD BOYS AND GIRLS TOWN OF MISSOURI
COLUMBIA MO
65201-9557
US

IV. Provider business mailing address

PO BOX 189
SAINT JAMES MO
65559-0189
US

V. Phone/Fax

Practice location:
  • Phone: 573-874-8686
  • Fax: 573-874-8608
Mailing address:
  • Phone: 573-636-4253
  • Fax: 573-636-4253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2006007087
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: