Healthcare Provider Details

I. General information

NPI: 1104243161
Provider Name (Legal Business Name): ROBIN R RASSE MED, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN RENE' RASSE-COTT

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 E JACKSON ST
MARSHALL MO
65340
US

IV. Provider business mailing address

1300 E BRADFORD PKWY
SPRINGFIELD MO
65804-4264
US

V. Phone/Fax

Practice location:
  • Phone: 660-886-8063
  • Fax: 660-263-2815
Mailing address:
  • Phone: 417-761-5000
  • Fax: 417-761-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2012026707
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2012026707
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: