COMMUNITY COUNSELING CENTER (NPI# 1417302795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417302795 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTER |
| Practice Address |
402 S Silver Springs Rd Cape Girardeau MO 63703-7536 |
| Practice Telephone | 5733341100 |
| Practice Fax Number | 5736514114 |
| Mailing Telephone | 5733341100 |
| Mailing Fax Number | 5736514114 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | LONNIE R LUSK (CFO) |
| Authorized Official Telephone | 5733341100 |
| Authorized Official Credential | CPA, CGMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 562654007 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740482587 | Community Counseling Center | Counselor | 850 Mcallister St, Greenville, MS 38701-5805 | 2007-06-04 |
| 1609920784 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2007-01-23 |
| 1154323566 | Community Counseling Center | Counselor | 4757 Main Ave, Groves, TX 77619-4740 | 2005-08-15 |
| 1730633207 | Community Counseling Center | Community/Behavioral Health | 1129 Marsh St, San Luis Obispo, CA 93401-3323 | 2016-08-12 |
| 1235507633 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-09-02 |
| 1306231261 | Community Counseling Center | Case Management | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-30 |
| 1568855401 | Community Counseling Center | Community/Behavioral Health | 714 E Sahara Ave, Las Vegas, NV 89104-2942 | 2015-03-17 |
| 1386938231 | Community Counseling Center | Counselor | 7950 Nations Ford Rd, Ste D4, Charlotte, NC 28217-8014 | 2011-06-07 |
| 1184952483 | Community Counseling Center | Marriage & Family Therapist | 515 N Penelope St, Belton, TX 76513-2675 | 2009-11-24 |
| 1316177173 | Community Counseling Center | Community/Behavioral Health | 4810 Wrightsville Ave, Wilmington, NC 28403-6917 | 2009-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY COUNSELING CENTER | 3737 Portland Rd Ne, Salem, OR 97303 |
| System for Award Management (SAM) Entities | COMMUNITY COUNSELING CENTER | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 |
| Virginia Business Entities | COMMUNITY COUNSELING CENTER INC. | 96 Campbell St, Harrisonburg, Virginia 22801-4010 |
| Oregon Corporations, Companies and Business Names | COMMUNITY COUNSELING CENTER OF ASHLAND | 600 Siskiyou Blvd, Ashland, OR 97520 |
| System for Award Management (SAM) Entities | COMMUNITY COUNSELING CENTER OF CENTRAL CONNECTICUT INC. | 53 Muir Ave, Bristol, CT 06010-7215 |
| Indiana Business Entities | COMMUNITY COUNSELING CENTER OF INDIANA, INC. | 6319 Constitution Dr, Ft. Wayne, IN 46804 |
| Street Address |
402 S SILVER SPRINGS RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124072350 | Daniela A Kantcheva | Nurse Practitioner | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2006-05-20 |
| 1093327645 | Teresa Ann Campbell | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2020-08-17 |
| 1184269227 | Cynthia Louise Keesee | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2019-11-13 |
| 1801443254 | Leslie Hannah Faith Knott | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2019-08-21 |
| 1386201655 | Lisa Tolbert | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2019-05-22 |
| 1629542394 | Tracie Manes | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2019-01-16 |
| 1154895936 | Heather Williams | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2019-01-15 |
| 1033681663 | Bailey J Debus | Social Worker | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2018-12-20 |
| 1578033403 | Rebecca Lynne Caudle | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2018-12-04 |
| 1346752680 | Erin Randol | Social Worker | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2017-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427192038 | Community Counseling Center | Clinic/Center | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484599 | Institute of Intrapersonal Development, LLC | Clinic/Center | 1872 Woodhollow Drive, Apt. 211, Maryland Heights, MO 63043-3957 | 2020-10-13 |
| 1740813096 | Hotel California By The Sea St. Louis, LLC | Clinic/Center | 333 S Kirkwood Rd Ste 303, Kirkwood, MO 63122-6161 | 2020-02-14 |
| 1659832079 | Metro Neurohealth LLC | Clinic/Center | 3641 Meadowglen Ct, Saint Charles, MO 63303-6678 | 2019-03-28 |
| 1013472703 | Teresa L Deshields Phd LLC | Clinic/Center | 225 S Meramec Ave Ste 432t, Clayton, MO 63105-3597 | 2019-02-06 |
| 1497226328 | Butler Psychological Services, LLC | Clinic/Center | 13532 Lawrence 1127, Mount Vernon, MO 65712-7504 | 2018-12-17 |
| 1710425236 | Beaconstar Counseling, LLC | Clinic/Center | 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 | 2017-02-03 |
| 1689111379 | Mindfully Whole Psychotherapy LLC | Clinic/Center | 4057 W Ildereen St, Springfield, MO 65807-1063 | 2017-01-19 |
| 1760839260 | Independence Center | Clinic/Center | 4245 Forest Park Ave, Saint Louis, MO 63108-2810 | 2016-05-16 |
| 1912361627 | New Horizons Community Support Services, Inc. | Clinic/Center | 2013 William St, Jefferson City, MO 65109-4771 | 2016-04-08 |
| 1780069161 | Iqbal Psychiatry | Clinic/Center | 1015 Grupp Rd Unit 31035, Saint Louis, MO 63131-5002 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.