BJC BEHAVIORAL HEALTH (NPI# 1053646380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053646380 |
| Entity Type | Organization |
| Organization Name | BJC BEHAVIORAL HEALTH |
| Practice Address |
1085 Maple Street Farmington MO 63640 |
| Mailing Address |
3471 Rosener Road Apt 1 Park Hills MO 63601 |
| Practice Telephone | 5737565353 |
| Practice Fax Number | 5737564557 |
| Mailing Telephone | 5733279022 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | MR. JERRY LYNN REED (PEER SPECIALIST) |
| Authorized Official Telephone | 5737565353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518251073 | Bjc Behavioral Health | Community/Behavioral Health | 233 Savannah Garden Dr, O Fallon, MO 63366-3220 | 2011-06-01 |
| 1427590371 | Bjc Behavioral Health | Community/Behavioral Health | 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 | 2016-11-09 |
| 1356795090 | Bjc Behavioral Health | Clinic/Center | 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 | 2016-04-19 |
| 1598142770 | Bjc Behavioral Health | Community/Behavioral Health | 1085 Maple St, Farmington, MO 63640-1955 | 2015-04-27 |
| 1801215652 | Bjc Behavioral Health | Case Management | 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 | 2014-04-09 |
| 1114268935 | Bjc Behavioral Health | Community/Behavioral Health | 1085 Maple St, Farmington, MO 63640-1955 | 2013-03-04 |
| 1790072262 | Bjc Behavioral Health | Community/Behavioral Health | 3165 Mckelvey Rd Ste 200, Bridgeton, MO 63044-2550 | 2011-07-06 |
| 1144520008 | Bjc Behavioral Health | Case Management | 343 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6195 | 2010-10-26 |
| 1134455561 | Bjc Behavioral Health | Community/Behavioral Health | 343 S Kirkwood Rd, Saint Louis, MO 63122-6195 | 2009-10-20 |
| 1114252004 | Bjc Behavioral Health | Case Management | 343 S Kirkwood Rd Ste 2, Saint Louis, MO 63122-6195 | 2009-10-09 |
| Street Address |
1085 MAPLE STREET |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396255204 | Holli Gillam | Social Worker | 1085 Maple Street, Farmington, MO 63640 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740653 | Personal Growth Services | Community/Behavioral Health | 57 Metacomet Rd, Farmington, CT 06032-1801 | 2020-11-03 |
| 1831753870 | Lucia Nazzaro, LLC | Community/Behavioral Health | 47 Tunxis Vlg, Farmington, CT 06032-1518 | 2019-04-25 |
| 1760987895 | Murphys Educational Center Inc | Community/Behavioral Health | 33519 State St, Farmington, MI 48335-3555 | 2018-03-29 |
| 1891161949 | Overcomers Counseling, LLC | Community/Behavioral Health | 475 East 20th Street, Farmington, NM 87401 | 2015-08-12 |
| 1265825012 | Straight Up Ministry, Inc | Community/Behavioral Health | 213 S Orchard Ave, Farmington, NM 87401-6459 | 2015-03-17 |
| 1902202260 | Life Matters: Counseling and Psychological Services | Community/Behavioral Health | 1170 Shepard Crk Pkwy, Farmington, UT 84025-2851 | 2014-11-14 |
| 1609126796 | Cardinal Care Center, P.l.l.c. | Community/Behavioral Health | 128 Southwinds Rd, Suite 3, Farmington, AR 72730-8652 | 2012-09-15 |
| 1235404385 | Uconn Health Center | Community/Behavioral Health | 263 Farmington Ave # Mc2103, Room # C1357, Farmington, CT 06030-2103 | 2012-03-21 |
| 1851628804 | Break of Day Inc. | Community/Behavioral Health | 462 S Strong Rd, #4, Farmington, ME 04938-5112 | 2009-11-12 |
| 1982875407 | Southeast Missouri Behavioral Health Inc | Community/Behavioral Health | 5536 Hwy 32, Farmington, MO 63640-7357 | 2008-03-13 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.