FAMILY COUNSELING CENTER, INC. (NPI# 1235738493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235738493 |
| Entity Type | Organization |
| Organization Name | FAMILY COUNSELING CENTER, INC. |
| Practice Address |
3001 Warrior Ln Poplar Bluff MO 63901-8685 |
| Practice Telephone | 5736861200 |
| Mailing Telephone | 5736861200 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | TRACY S ELLIS (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 5738885925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FCC Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922474436 | Family Counseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 802 E School St, Karnak, IL 62956-1527 | 2015-08-19 |
| 1194026765 | Family Counseling Center, Inc. | Clinic/Center | 500 Us Hwy 61 North, Hayti, MO 63851 | 2010-11-12 |
| 1487804100 | Family Counseling Center, Inc. | Assisted Living Facility | 1000 Galeener St, Vienna, IL 62995-1676 | 2008-09-30 |
| 1598912263 | Family Counseling Center, Inc. | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2008-08-25 |
| 1780831453 | Family Counseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 904 Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1528215290 | Family Counseling Center, Inc. | Clinic/Center | 406 East Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1700033479 | Family Counseling Center, Inc. | Clinic/Center | 147 North Main Street, Elizabethtown, IL 62931 | 2008-08-25 |
| 1538114608 | Family Counseling Center, Inc. | Private Vehicle | 125 North Market Street, Golconda, IL 62938 | 2006-05-24 |
| 1225021090 | Family Counseling Center, Inc. | Psychiatry & Neurology | 1140 Three Rivers Blvd, Poplar Bluff, MO 63901-3075 | 2005-08-26 |
| 1669477550 | Family Counseling Center, Inc. | Community/Behavioral Health | 925 Hwy V V, Kennett, MO 63857-0071 | 2005-06-16 |
| Street Address |
3001 WARRIOR LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-8685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083638506 | Robin Denise Vickery | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2006-07-27 |
| 1972117620 | Selina Ann Mcklintic | Registered Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-09-01 |
| 1477163764 | Paula Kay Dawes | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-08-03 |
| 1275141921 | Matthew Owens | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-20 |
| 1730797564 | Holly Rebecca Carter | Counselor | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-17 |
| 1174144547 | Angela Michelle Slaughter | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1215558655 | Ashley Don Scheffler | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-27 |
| 1922628510 | Jennifer Lee Taylor | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-23 |
| 1639708233 | Zackary James Ladyman | Licensed Practical Nurse | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-04-06 |
| 1205462678 | Bryan Coty Miles | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-03-18 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| 1508286691 | Quad Med LLC | Clinic/Center | 725 Highway 142, Poplar Bluff, MO 63901 | 2014-04-16 |
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| 1174145668 | Essential Benefit Offerings, LLC | Clinic/Center | 1417 N Mount Auburn Rd Ste A2, Cape Girardeau, MO 63701-2171 | 2020-05-07 |
| 1114483468 | Your Optimal Healthcare LLC | Clinic/Center | 300 W 4th St Ste H, Eureka, MO 63025-1839 | 2019-02-12 |
| 1306313051 | Country Care Family Clinic, LLC | Clinic/Center | 3 E Cleveland Ave, Ellsinore, MO 63937 | 2018-10-31 |
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.