OVERCOMERS COUNSELING CENTER INC


Address: 17101 East 203rd St, Peculiar, MO 64078
Phone: 8162555375

OVERCOMERS COUNSELING CENTER INC (NPI# 1154935112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154935112
Entity Type Organization
Organization Name OVERCOMERS COUNSELING CENTER INC
Practice Address 17101 East 203rd St
Peculiar
MO 64078
Mailing Address 941 Selby Ct
Raymore
MO 64083
Practice Telephone 8162555375
Mailing Telephone 8162556375
Enumeration Date 2020-09-06
Last Update Date 2020-09-06
Authorized Official Name LUCINDA GRACE PENNINGTON (OWNER/COUNSELOR)
Authorized Official Telephone 8162555375
Authorized Official Credential MS/MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 251S00000X Community/Behavioral Health Agencies
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Lucinda Grace Pennington LLC Other Name - Individual/Organization

Office Location

Street Address 17101 EAST 203RD ST
City PECULIAR
State MO
Zip Code 64078

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902361587 Tanner Christensen Chiropractor C, 201 State Hwy C, Peculiar, MO 64078 2019-02-07
1699247981 Lucinda Pennington Counselor 17101 E 203rd St, Peculiar, MO 64078 2018-12-26
1891212189 Kathleen Johnston Occupational Therapist 21005 S School Rd., Pecuilar, MO 64078 2017-08-28
1881076404 Thayer Banwart Chiropractor 201 State C Hwy, Peculiar, MO 64078 2015-06-19
1952585978 Mbch Children and Family Ministries Voluntary or Charitable 20509 S. State Rte J, Peculiar, MO 64078 2007-12-27
1487871471 Raymore-peculiar Reorganized School Physical Therapist 21005 S School Road, Peculiar, MO 64078-0366 2007-04-19
1235215278 Christy Grimes Social Worker 20509 South State Route J, Peculiar, MO 64078-0447 2006-10-31
1720225675 Balanced Health Chiropractor 215 N Main St, Peculiar, MO 64078-2522 2009-01-14
1073671483 Sheryl Lynn Phillips Pharmacist 219 N Main St, Peculiar, MO 64078-2522 2006-12-05
1356420525 Amy M Briner Pharmacist 219 N Main St, Peculiar, MO 64078-2522 2006-11-06
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720642010 Southview Health Care, LLC. Community Based Residential Treatment Facility, Mental Illness 951 Creamery Rd, West Plains, MO 65775-6052 2019-04-23
1902369663 Anna Dodson Home LLC Community Based Residential Treatment Facility, Mental Illness 4616 Hwy D, Farmington, MO 63640-7241 2019-04-10
1760940209 Lea-ed Inc Community Based Residential Treatment Facility, Mental Illness 30 Sherman Road, Lemay, MO 63125 2019-03-04
1467919233 Ted-lea, Inc. Community Based Residential Treatment Facility, Mental Illness 9444 Midland Blvd, Overland, MO 63114-3328 2019-02-27
1639633290 Synergy Executive, LLC Community Based Residential Treatment Facility, Mental Illness 2608 Smyrna Rd, Ozark, MO 65721-7674 2019-01-29
1467958553 Swope Health Services Community Based Residential Treatment Facility, Mental Illness 2614 Benton Blvd, Kansas City, MO 64127-4149 2018-04-05
1053827964 Dianas Boarding Home Inc Community Based Residential Treatment Facility, Mental Illness Hc 64, Box 4683, Marble Hill, MO 63764 2017-12-15
1689098188 Venus Independent Living LLC Community Based Residential Treatment Facility, Mental Illness 301 S Coffey St, Vienna, MO 65582-8862 2014-02-05
1699108381 Sunny Hill, Inc. Community Based Residential Treatment Facility, Mental Illness 134 Gray St, Festus, MO 63028-1949 2013-08-16
1790038321 Pleasant Solutions Home Health Care,llc Community Based Residential Treatment Facility, Mental Illness 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 2012-10-19
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Competitor

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City PECULIAR
Zip Code 64078

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Dataset Information

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.

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