BOYS & GIRLS TOWN OF MISSOURI (NPI# 1295801678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295801678 |
| Entity Type | Organization |
| Organization Name | BOYS & GIRLS TOWN OF MISSOURI |
| Practice Address |
1212 W Lombard St Springfield MO 65806-2720 |
| Mailing Address |
426 N Alexander Ave Republic MO 65738-1235 |
| Practice Telephone | 4178651646 |
| Mailing Telephone | 4177322416 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARLA H. UNDERWOOD (THERAPIST) |
| Authorized Official Telephone | 4178651646 |
| Authorized Official Credential | MS, LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 002691 | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699076695 | Boys & Girls Town of Missouri | Foster Care Agency | 4485 Westminster Pl, Saint Louis, MO 63108-1812 | 2010-11-06 |
| 1902067184 | Boys & Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 4304 S Bearfield Rd, Columbia, MO 65201-9557 | 2008-06-20 |
| 1720157803 | Boys & Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 1212 W Lombard St, Springfield, MO 65806-2720 | 2006-11-06 |
| Street Address |
1212 W LOMBARD ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417026683 | Holly Elizabeth Billings | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2006-11-06 |
| 1942815444 | Jacquelyn Shae Hitchcock | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2020-09-10 |
| 1174155147 | Rachel Armilda Hayter | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2020-02-07 |
| 1437710159 | Kara Steel | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2019-06-24 |
| 1518425602 | Brittani Danielle Derossett | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2019-03-07 |
| 1578916946 | Gene Estrada Garcia I | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2016-07-20 |
| 1558720680 | Anne Tucker | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2016-02-17 |
| 1407215783 | Darin Dunn | Social Worker | 1212 W Lombard St, Springfield, MO 65806-2720 | 2016-02-16 |
| 1164890638 | Joan Schutz | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2015-09-14 |
| 1740681394 | Lacey Marie Wilson | Counselor | 1212 W Lombard St, Springfield, MO 65806-2720 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740734 | Youth Service International Inc. | Psychiatric Residential Treatment Facility | 709 6th Street, Springfield, SD 57062 | 2010-05-06 |
| 1720165327 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 South Market Ave, Springfield, MO 65806-2026 | 2006-11-01 |
| 1861897183 | Columbiacare Services | Psychiatric Residential Treatment Facility | 2211 Clear Vue Ln, Springfield, OR 97477-1373 | 2014-10-29 |
| 1417214636 | Great Circle | Psychiatric Residential Treatment Facility | 1212 W Lombard St, Springfield, MO 65806-2720 | 2012-04-12 |
| 1205095569 | Lakeland Hospital Acquisition, LLC | Psychiatric Residential Treatment Facility | 440 S Market Ave, Springfield, MO 65806-2026 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618014 | R &r Residential Care LLC | Psychiatric Residential Treatment Facility | 17025 Old Jamestown Rd, Florissant, MO 63034-1414 | 2020-10-28 |
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1073909511 | Weatherby & Associates, LLC | Psychiatric Residential Treatment Facility | 1323 N Washington St, Mexico, MO 65265-3352 | 2015-04-10 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1932369857 | Missouri Residential Care LLC | Psychiatric Residential Treatment Facility | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2008-06-13 |
| 1003000571 | House of Care Center | Psychiatric Residential Treatment Facility | 3744 Benton Blvd, Kansas City, MO 64128-2515 | 2007-08-28 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1407058894 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 5415 Thekla Ave, Saint Louis, MO 63120-2513 | 2007-06-05 |
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
Please comment or provide details below to improve the information on BOYS & GIRLS TOWN OF MISSOURI.
| 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.