Susan Buckallew, MED, LPC
NPI 1386952604 · Professional Counselor · Kirksville, MO
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1386952604
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MED, LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2010032751 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 203 E Commercial StKahoka, MO 63445-1710Phone: (660) 727-1111
- 1101 Jamison StKirksville, MO 63501-3943Phone: (660) 665-1962Fax: (660) 627-0642
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.