FAMILY INSTITUTE OF MENTAL HEALTH, INC. (NPI# 1114189180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114189180 |
| Entity Type | Organization |
| Organization Name | FAMILY INSTITUTE OF MENTAL HEALTH, INC. |
| Practice Address |
281 S Jefferson Ave Suite J Lebanon MO 65536-3226 |
| Mailing Address |
23175 Paradise Dr Lebanon MO 65536-5146 |
| Practice Telephone | 4175882933 |
| Mailing Telephone | 4175882933 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MS. BETSY HACKER WAHL (PRESIDENT/THERAPIST) |
| Authorized Official Telephone | 4175882933 |
| Authorized Official Credential | L.P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 000080 | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1508837857 | 05 |
| Street Address |
281 S JEFFERSON AVE SUITE J |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134276504 | Mary E Isaacs | Counselor | 281 S Jefferson Ave, Suite J, Lebanon, MO 65536-3226 | 2007-01-05 |
| 1851592083 | Quentin Doyle Maxwell | Counselor | 281 S Jefferson Ave, Suite J, Lebanon, MO 65536-3226 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| 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 |
|---|---|---|---|---|
| 1154895712 | Lanham Counseling | Community/Behavioral Health | 27 Court Sq, Lebanon, KY 40033-1233 | 2019-01-17 |
| 1780119305 | Recovery Defined, LLC | Community/Behavioral Health | 777 Columbus Ave Ste 7d, Lebanon, OH 45036-1684 | 2017-04-21 |
| 1952712663 | Family Preservation Services, Inc. | Community/Behavioral Health | 53 Pruner St, Lebanon, VA 24266-4235 | 2014-05-15 |
| 1568772135 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 400 Narrows Drive, Lebanon, PA 17046 | 2010-10-18 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| 1982854238 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1825 S 5th Ave, Lebanon, PA 17042-7910 | 2008-09-23 |
| 1871743120 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1600 Colonial Cir, Lebanon, PA 17046-1964 | 2008-09-23 |
| 1568619922 | James Dale Streiff | Community/Behavioral Health | 756 Cumberland St, Suite 3, Lebanon, PA 17042-5268 | 2008-08-27 |
| 1659528230 | Family Preservation Services, Inc | Community/Behavioral Health | George Ben Whited Drive, Lebanon, VA 24266 | 2008-08-26 |
| 1821263716 | O.c.c.s., Inc. | Community/Behavioral Health | 687 W Elm St, Lebanon, MO 65536-3568 | 2008-04-23 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on FAMILY INSTITUTE OF MENTAL HEALTH, INC..
| 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.