CLEAR CREEK COUNSELING (NPI# 1568914927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568914927 |
| Entity Type | Organization |
| Organization Name | CLEAR CREEK COUNSELING |
| Practice Address |
3646 N Farm Road 89 Willard MO 65781-8330 |
| Mailing Address |
3646 North Farm Road 89 Willard MO 65781 |
| Practice Telephone | 5736198919 |
| Mailing Telephone | 4178504555 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | PEGGY LYNN THOENEN (COUNSELOR) |
| Authorized Official Telephone | 5736198919 |
| 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 | 2016035718 | MO | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CLEAR CREEK COUNSELING, LLC | 225 17th Ave, Idaho Springs, CO 80452 |
| Colorado Business Entities | Clear Creek Counseling, PLLC | 30922 Hilltop Dr., Evergreen, CO 80439 |
| Street Address |
3646 N FARM ROAD 89 |
| City | WILLARD |
| State | MO |
| Zip Code | 65781-8330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275350 | Regional Services | Nurse Practitioner | 205 S Miller Rd, Willard, MO 65781 | 2018-08-15 |
| 1407335110 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 520 E Jackson St Ste A, Willard, MO 65781 | 2018-08-13 |
| 1528425535 | Jennifer M Lankford | Pharmacist | 304 E. Jackson St. #2d, Willard, MO 65781 | 2016-01-21 |
| 1962695817 | Sarah Leigh King-finley | Counselor | 304 E. Jackon Street, Suite 204, Willard, MO 65781 | 2007-08-23 |
| 1538229968 | Lee R Bruner | Pharmacist | 304 E Jackson Street, Bbc Pharmacy, Willard, MO 65781 | 2006-12-08 |
| 1518062710 | Willard Chiropractic LLC | Chiropractor | 128 Grand Prairie, Willard, MO 65781 | 2006-09-13 |
| 1396785614 | Willard Carecentre, Inc | Skilled Nursing Facility | 400 Walnut Lane, Willard, MO 65781 | 2006-06-07 |
| 1346263696 | Dr. Stephen G. Powell, Dr. Ernest E. Curry, Dr. James C Jordan Dds LLC | Dentist | 403 E Jackson, Willard, MO 65781-0488 | 2006-07-26 |
| 1417280637 | Mollie R Leek | Speech-Language Pathologist | 460 Kime St, Willard, MO 65781-7233 | 2009-09-08 |
| 1306222153 | Casey Sumner | Occupational Therapist | 500 Kime St, Willard, MO 65781-7265 | 2015-08-04 |
| Find all providers in zip 65781 | ||||
| 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 |
|---|---|---|---|---|
| 1316131030 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 912 Buckhorn Rd, Willard, NC 28478-9678 | 2007-09-06 |
| 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 |
| 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 |
| 1275850869 | Victory Mountain, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 148 Bowling Ln, Ironton, MO 63650-4148 | 2010-04-22 |
| 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.