FAMILY COUNSELING CENTER OF MISSOURI INC (NPI# 1437294816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437294816 |
| Entity Type | Organization |
| Organization Name | FAMILY COUNSELING CENTER OF MISSOURI INC |
| Other Organization Name | CEDAR RIDGE TREATMENT CENTER |
| Practice Address |
1091 Midway Dr Linn Creek MO 65052-1687 |
| Mailing Address |
117 N Garth Ave Columbia MO 65203-4103 |
| Practice Telephone | 5733466758 |
| Practice Fax Number | 5733460621 |
| Mailing Telephone | 5734432204 |
| Mailing Fax Number | 5738756607 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALLEN TACKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5734432204 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | FCCMO BILLING NPI NUMBER | 1649269622 | 01 |
| Other Name | Type Code |
|---|---|
| Cedar Ridge Treatment Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306165535 | Family Counseling Center of Missouri Inc | Clinic/Center | 117 N Garth Ave, Columbia, MO 65203-4103 | 2010-05-27 |
| 1558406959 | Family Counseling Center of Missouri Inc | Counselor | 2625 Fairway Dr, Fulton, MO 65251-3936 | 2007-02-21 |
| 1710022108 | Family Counseling Center of Missouri Inc | Counselor | 600 W Morrison St, Suite 16, Fayette, MO 65248-1075 | 2007-02-21 |
| 1467597872 | Family Counseling Center of Missouri Inc | Clinic/Center | 204 Metro Dr, Suite B, Jefferson City, MO 65109-4408 | 2007-02-21 |
| Street Address |
1091 MIDWAY DR |
| City | LINN CREEK |
| State | MO |
| Zip Code | 65052-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285703736 | Carolyn Marie Baty | Counselor | 1091 Midway Dr, Linn Creek, MO 65052 | 2006-11-07 |
| 1306344544 | Ria Newcomb | Counselor | 1091 Midway Dr, Linn Creek, MO 65052 | 2018-01-23 |
| 1235660242 | Brook Lupplace | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2017-03-22 |
| 1811356124 | Kristy Gaines | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2016-02-15 |
| 1912335340 | Alison Meinecke | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-10-22 |
| 1518309533 | Lindsey A Brown | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-07-18 |
| 1417398900 | Jennifer Wren Matthews | Registered Nurse | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2013-07-11 |
| 1447509948 | Mark A Kassebaum | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2012-08-30 |
| 1851646665 | Sarfaraz Abdeali Jasdanwala | Internal Medicine | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2012-07-17 |
| 1639305147 | Karista E. Gill | Counselor | 1091 Midway Dr, Linn Creek, MO 65052-1687 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730597774 | Philip Cody Austin | Dentist | 4176 East Highway 54, Linn Creek, MO 65052 | 2014-07-22 |
| 1467450189 | Christi Michelle Hancock | Chiropractor | 4203 E Us Highway 54, Linn Creek, MO 65052-1745 | 2005-07-07 |
| 1851880314 | Brittney Laine Bennett | Chiropractor | 4203 E Us Highway 54, Linn Creek, MO 65052-1745 | 2018-05-09 |
| 1194998450 | Absolute Wellness Center, Inc | Chiropractor | 4203 E Us Highway 54, Linn Creek, MO 65052-1745 | 2008-04-08 |
| 1528113610 | Anita Pinson | Counselor | 326 Lowell Williams Rd, Linn Creek, MO 65052-1851 | 2007-01-25 |
| 1407994544 | Charles Leroy Dial | Podiatrist | 123 Biscayne Ln, Linn Creek, MO 65052-2507 | 2007-02-01 |
| 1215049788 | Charles J. Mcmullin Jr. | Specialist | 300 Foxhead Shores Dr, Linn Creek, MO 65052-2563 | 2006-08-31 |
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112967 | Hurdler Outreach Services LLC | Substance Abuse Rehabilitation Facility | 6425 Evanston Ave, Raytown, MO 64133-4931 | 2020-10-21 |
| 1912529041 | Ip Reserve | Substance Abuse Rehabilitation Facility | 21708 Nickel Ave, Gallatin, MO 64640-6369 | 2020-05-12 |
| 1417577107 | Sana Lake Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 150 Sana Lake Recovery Way, Dittmer, MO 63023 | 2020-04-22 |
| 1639723463 | Haven Recovery Homes | Substance Abuse Rehabilitation Facility | 3929 Michigan Ave, Saint Louis, MO 63118-4324 | 2019-07-30 |
| 1356875678 | Summit Bhc Saint Louis, LLC | Substance Abuse Rehabilitation Facility | 22933 Hwy 61, Eolia, MO 63344 | 2017-04-13 |
| 1821549122 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 2415 W Catalpa St, Springfield, MO 65807-1123 | 2016-10-21 |
| 1225496052 | Betty Lou Wallace Recovery LLC | Substance Abuse Rehabilitation Facility | 13350 Holmes Rd, Kansas City, MO 64145-1437 | 2016-02-08 |
| 1326414350 | Synergy Recovery Center | Substance Abuse Rehabilitation Facility | 3955 S Farm Road 223, Rogersville, MO 65742-8807 | 2015-08-13 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1932517653 | Summit Bhc Lafayette LLC | Substance Abuse Rehabilitation Facility | 551 Warren Ave, Saint Louis, MO 63130-4155 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | LINN CREEK |
| Zip Code | 65052 |
Please comment or provide details below to improve the information on FAMILY COUNSELING CENTER OF MISSOURI INC.
| 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.