TRI-LAKES CHURCH (NPI# 1477727006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477727006 |
| Entity Type | Organization |
| Organization Name | TRI-LAKES CHURCH |
| Other Organization Name | TRI-LAKES RELATIONAL CENTER |
| Practice Address |
2527 State Highway 248 Branson MO 65616-9240 |
| Practice Telephone | 4173394041 |
| Practice Fax Number | 4173360909 |
| Mailing Telephone | 4173394041 |
| Mailing Fax Number | 4173360909 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. JARED PHILIP PINGLETON (DIRECTOR) |
| Authorized Official Telephone | 4173394041 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-LAKES CHURCH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 01240 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Tri-Lakes Relational Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | TRI-LAKES CHURCH OF CHRIST | 20450 Beacon Lite Rd, Monument, CO 80132 |
| Street Address |
2527 STATE HIGHWAY 248 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891976254 | Jared Philip Pingleton | Counselor | 2527 State Highway 248, Branson, MO 65616-9240 | 2007-11-14 |
| 1093018525 | Harry Frederick Pearson Jr. | Marriage & Family Therapist | 2527 State Highway 248, Branson, MO 65616-9240 | 2010-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
| 1629318233 | Woodland Hills Counseling Center | Community/Behavioral Health | 3953 Green Mountain Dr, Branson, MO 65616-8555 | 2013-02-18 |
| 1386921112 | Community Christian Counseling Clinic | Community/Behavioral Health | 301 W Pacific St Ste D-e, Branson, MO 65616-4054 | 2011-11-08 |
| 1346412327 | Branson Counseling Center, LLC | Community/Behavioral Health | 574 State Highway 248, Suite 2, Branson, MO 65616-7740 | 2008-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799360 | Alternative Interventions, Inc. | Community/Behavioral Health | 500 Nw Plaza Dr Ste 500, Saint Ann, MO 63074-2220 | 2020-10-26 |
| 1679171177 | Preferred Path LLC | Community/Behavioral Health | 1619 Summer Run Dr Unit 23, Florissant, MO 63033-6440 | 2020-10-15 |
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1649892779 | Ip Reserve | Community/Behavioral Health | 21332 Midway Ave, Gallatin, MO 64640-6314 | 2020-05-12 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1497399414 | Good Vibes Counseling Services | Community/Behavioral Health | 2002 Madison 417, Fredericktown, MO 63645-7002 | 2019-11-01 |
| 1528601614 | Worryfree Enterprises LLC | Community/Behavioral Health | 14491 Soho Dr, Florissant, MO 63034-2651 | 2019-10-22 |
| 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.