BOYS AND GIRLS TOWN OF MISSOURI (NPI# 1417000621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417000621 |
| Entity Type | Organization |
| Organization Name | BOYS AND GIRLS TOWN OF MISSOURI |
| Practice Address |
1212 W Lombard St Springfield MO 65806-2720 |
| Practice Telephone | 4178651646 |
| Practice Fax Number | 4178656258 |
| Mailing Telephone | 4178651646 |
| Mailing Fax Number | 4178656258 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RHONDA KAY FRANZ (FOSTER CARE CASE MANAGER) |
| Authorized Official Telephone | 4178651646 |
| Authorized Official Credential | PLPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 2006009173 | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083878839 | Boys and Girls Town of Missouri | Community Based Residential Treatment Facility, Mental Illness | 13160 County Rd 3610, St. James, MO 65559 | 2008-07-10 |
| 1306999511 | Boys and Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 13160 County Road 3610, Boys & Girls Town of Missouri, St. James, MO 65559 | 2007-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOYS AND GIRLS TOWN OF MISSOURI | 13160 County Rd 3610, Saint James, MO 65559-9151 |
| 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 | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033288907 | Cutchins Programs | Residential Treatment Facility, Emotionally Disturbed Children | 26 Ridgewood Ter, Springfield, MA 01105-1315 | 2006-11-07 |
| 1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
| 1013086842 | Boys and Girls Town Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 1212 W Lombard St, Springfield, MO 65806-2720 | 2006-11-07 |
| 1720157803 | Boys & Girls Town of Missouri | Residential Treatment Facility, Emotionally Disturbed Children | 1212 W Lombard St, Springfield, MO 65806-2720 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474204 | Whetstone Boys Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6850 County Road 2660, Mountain View, MO 65548-8146 | 2020-10-15 |
| 1962995993 | The Bridge Home for Children | Residential Treatment Facility, Emotionally Disturbed Children | 6033 Swope Pkwy, Kansas City, MO 64130-4461 | 2018-06-13 |
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1568914927 | Clear Creek Counseling | Residential Treatment Facility, Emotionally Disturbed Children | 3646 N Farm Road 89, Willard, MO 65781-8330 | 2016-11-01 |
| 1619330578 | Farmer Grove Homesteads Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 533 E Bedford St, Marshfield, MO 65706-1218 | 2016-03-29 |
| 1720447212 | Corner Stones of Care | Residential Treatment Facility, Emotionally Disturbed Children | 300 E 36th St, Kansas City, MO 64111-1410 | 2016-02-12 |
| 1558729509 | Cayman's House of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 311 N Poplar St, Fair Play, MO 65649-9299 | 2016-02-05 |
| 1639503691 | Proverb Academy, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 420 Carroll St, Morehouse, MO 63868 | 2013-08-27 |
| 1306147277 | Fair Haven Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 3132 N Fair Haven Loop, Strafford, MO 65757-8619 | 2010-11-09 |
| 1437470184 | Ozarks Teen Challenge | Residential Treatment Facility, Emotionally Disturbed Children | 512 Purist Lane, Branson West, MO 65737 | 2010-06-17 |
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| City | SPRINGFIELD |
| Zip Code | 65806 |
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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.