FAMILY COUNSELING CENTER, INC. (NPI# 1386101467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386101467 |
| Entity Type | Organization |
| Organization Name | FAMILY COUNSELING CENTER, INC. |
| Other Organization Name | FCC PRIMARY CARE CLINIC |
| Practice Address |
900 State Route Vv Kennett MO 63857-3834 |
| Mailing Address |
Po Box 71 Kennett MO 63857-0071 |
| Practice Telephone | 5738885925 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | MARY SHANE GUTHRIE (PRIVILEGING COORDINATOR) |
| Authorized Official Telephone | 5738885925 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY COUNSELING CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FCC Primary Care Clinic | 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 |
900 STATE ROUTE VV |
| City | KENNETT |
| State | MO |
| Zip Code | 63857-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689815201 | Karl Erik Shanstrom | Family Medicine | 900 State Route Vv, Kennett, MO 63857-3834 | 2009-03-11 |
| 1144837188 | Brittani Dawn Brown | Nurse's Aide | 900 State Route Vv, Kennett, MO 63857-3834 | 2020-09-24 |
| 1194364463 | Dezziraee N Nixon | Licensed Practical Nurse | 900 State Route Vv, Kennett, MO 63857-3834 | 2020-01-03 |
| 1720642606 | Traci Lynn Crosskno | Licensed Practical Nurse | 900 State Route Vv, Kennett, MO 63857-3834 | 2019-04-26 |
| 1114581485 | Michelle Rasberry | Technician | 900 State Route Vv, Kennett, MO 63857-3834 | 2019-04-23 |
| 1346736873 | Whitney Jo Bradford | Nurse Practitioner | 900 State Route Vv, Kennett, MO 63857-3834 | 2018-07-09 |
| 1376030874 | Family Counseling Center, Inc. | Clinic/Center | 900 State Route Vv, Kennett, MO 63857-3834 | 2018-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278139 | Fancilla Adams | Counselor | 925 State Highway V V, Kennett, MO 63857 | 2019-01-10 |
| 1962994418 | Kiana Alexis Brown | Behavior Technician | 925 Highway W, Kennett, MO 63857 | 2018-05-31 |
| 1568953636 | Doctors Health Group, Inc | Family Medicine | 1312 First Street, Kennett, MO 63857 | 2018-05-24 |
| 1003328873 | Ann Graf | Counselor | 925 Vv, Kennett, MO 63857 | 2017-11-01 |
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1235669128 | Chandra Celeste Perkins-shannon | Case Manager/Care Coordinator | 925 Hwy V, Kennett, MO 63857 | 2017-06-14 |
| 1467991612 | Sarah Lobdell | Case Manager/Care Coordinator | 925 State Highway Vv, Kennett, MO 63857 | 2017-02-21 |
| 1881132900 | Brandy Rios | Community Health Worker | 935 State Hwy Vv, Kennett, MO 63857 | 2017-02-09 |
| 1295272060 | Johnny Marie Johnson | Case Manager/Care Coordinator | 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 | 2017-01-31 |
| 1043756364 | Heather Bowman | Case Manager/Care Coordinator | 875 Hwy Vv, Kennett, MO 63857 | 2017-01-10 |
| Find all providers in zip 63857 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387024 | Kennett Hma LLC | Clinic/Center | 1231 1st St, Kennett, MO 63857-2527 | 2016-10-17 |
| 1477821684 | Kennett Hma LLC | Clinic/Center | 1231 1st St, Suite 5, Kennett, MO 63857-2527 | 2011-12-02 |
| 1023342987 | Kennett Hma LLC | Clinic/Center | 509 South Byp, Kennett, MO 63857-3248 | 2009-09-25 |
| 1811166465 | Amy R Lockhert | Clinic/Center | 105 E Washington St, Kennett, MO 63857-2041 | 2008-02-28 |
| 1043363013 | Healthcare for Women, Inc. | Clinic/Center | 304 Teaco Rd, Suite G, Kennett, MO 63857-3266 | 2007-01-20 |
| 1992807390 | Pemiscot County Memorial Hospital | Clinic/Center | 304 Teaco Rd, Kennett, MO 63857 | 2006-09-05 |
| 1245271915 | Kennett Hma Inc | Clinic/Center | 1301 1st St, Kennett, MO 63857-2525 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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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.