Healthcare Provider Details

I. General information

NPI: 1609550227
Provider Name (Legal Business Name): JOSHALYNN M VASSAR BSW, MS, PLPC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 BURKARTH RD
WARRENSBURG MO
64093-1462
US

IV. Provider business mailing address

72 SW 1971ST RD
KINGSVILLE MO
64061-9253
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-7127
  • Fax:
Mailing address:
  • Phone: 816-405-0295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2023022616
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2023022616
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025017095
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: