SAC RIVER COUNSELING, INC. (NPI# 1538365614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538365614 |
| Entity Type | Organization |
| Organization Name | SAC RIVER COUNSELING, INC. |
| Practice Address |
406 College St #2 Greenfield MO 65661-1346 |
| Mailing Address |
928 E Dade 68 Dadeville MO 65635-8112 |
| Practice Telephone | 4176371476 |
| Mailing Telephone | 4177771476 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | DR. REBECCA MARIE ROLLER (PRESIDENT) |
| Authorized Official Telephone | 4177771476 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2004037100 | MO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 2007003463 | MO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2006033497 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 497227124 | 05 |
| Street Address |
406 COLLEGE ST #2 |
| City | GREENFIELD |
| State | MO |
| Zip Code | 65661-1346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275083495 | Cody Jeffries | Psychologist | 406 College St, #2, Greenfield, MO 65661-1346 | 2016-10-12 |
| 1295982569 | Brandi Kay Norman | Counselor | 406 College St, #2, Greenfield, MO 65661-1346 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
| 1144356502 | Greenfield Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 105 North Grand, Suite 1, Greenfield, MO 65661 | 2007-02-27 |
| 1730278730 | Malcolm B. Oliver | Family Medicine | 105 N Grand, Suite 2, Greenfield, MO 65661 | 2006-10-11 |
| 1972523298 | Greenfield Medical Center LLC | Family Medicine | 123 Wetzel Street, Greenfield, MO 65661 | 2006-07-20 |
| 1184601601 | W Curtis Rogers | Dentist | 162 South Allison Ave, Greenfield, MO 65661 | 2005-12-27 |
| 1164407557 | Randy Kyle Meents | Pharmacist | 105 N. Grand St., Suite 1, Greenfield, MO 65661-0158 | 2005-12-08 |
| 1699989350 | Citizens Memorial Healthcare | Clinic/Center | 105 N. Grand St., Suite 2, Greenfield, MO 65661-0367 | 2007-05-10 |
| 1902901176 | Lauretta M Britz | Nurse Practitioner | 105 N. Grand, #2, Greenfield, MO 65661-0367 | 2006-09-13 |
| 1306820824 | Rebecca Marie Roller | Counselor | 310 E Hewitt Ave, Suite C, Greenfield, MO 65661-1138 | 2005-11-30 |
| 1467761379 | Christian J Michau | Counselor | 310 E Hewitt Ave, Ste C, Greenfield, MO 65661-1138 | 2010-09-27 |
| Find all providers in zip 65661 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225493166 | Angela Zapata | Psychologist | 9400 W Barnard Ave, Greenfield, WI 53228-3319 | 2015-12-18 |
| 1407029507 | Anthony W Jurek | Psychologist | 7411 W Coldspring Rd, Greenfield, WI 53220-2813 | 2008-04-09 |
| 1760007009 | Kimberly Anne Norden | Psychologist | 4811 S 76th St Ste 208, Greenfield, WI 53220-4352 | 2020-06-12 |
| 1275083495 | Cody Jeffries | Psychologist | 406 College St, #2, Greenfield, MO 65661-1346 | 2016-10-12 |
| 1548543507 | Amber Robinson Green | Psychologist | 1 Arch Pl, Greenfield, MA 01301-2457 | 2011-09-26 |
| 1740300151 | Kerry M. Morrison | Psychologist | 489 Bernardston Rd, Suite 203, Greenfield, MA 01301-1234 | 2007-03-30 |
| 1902938590 | Alyssa Greer | Psychologist | 6944 W Forest Home Ave, Greenfield, WI 53220-2917 | 2007-03-10 |
| 1265509368 | Suellen Walsh | Psychologist | 329 Conway St, Greenfield Health Center, Greenfield, MA 01301-1521 | 2006-11-30 |
| 1093889701 | Thomas Quincy Peters | Psychologist | 1 Verney Dr, Greenfield, NH 03047-5000 | 2006-11-17 |
| 1871678136 | John H Anderson Jr. | Psychologist | 329 Conway St, Greenfield, MA 01301-1521 | 2006-10-26 |
| Find all providers in GREENFIELD | ||||
| City | GREENFIELD |
| Zip Code | 65661 |
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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.