MENTAL WELLNESS, LLC (NPI# 1639254600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639254600 |
| Entity Type | Organization |
| Organization Name | MENTAL WELLNESS, LLC |
| Practice Address |
1191 Highway Kk Suite 202 Osage Beach MO 65065-3510 |
| Practice Telephone | 5734807910 |
| Practice Fax Number | 5733027239 |
| Mailing Telephone | 5734807910 |
| Mailing Fax Number | 5733027239 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JENNIFER BOYER STEVENS (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 5734807910 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2004013642 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1191 HIGHWAY KK SUITE 202 |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487611323 | Denise D Barnes | Physical Therapist | 1191 Highway Kk, Suite 102, Osage Beach, MO 65065-3344 | 2006-04-26 |
| 1619000304 | Clearview Outpatient Services Inc. | Psychologist | 1191 Highway Kk, Suite 101, Osage Beach, MO 65065-3510 | 2007-03-13 |
| 1215031737 | Osage Family Clinic, LLC | Family Medicine | 1191 Highway Kk, Suite 202, Osage Beach, MO 65065-3510 | 2006-09-13 |
| 1528089539 | Muthu S. Krishnan | Internal Medicine | 1191 Highway Kk, Suite 300, Osage Beach, MO 65065-3510 | 2006-07-22 |
| 1578584587 | Lake Cardiovascular Institute, PC | Internal Medicine | 1191 Highway Kk, Suite 300, Osage Beach, MO 65065-3510 | 2006-07-22 |
| 1376577080 | Lane Armstrong | Psychologist | 1191 Highway Kk, Ste. 101, Osage Beach, MO 65065-3510 | 2006-07-10 |
| 1942241203 | Lake Behavioral Health Associates, LLC | Psychologist | 1191 Highway Kk, Ste. 101, Osage Beach, MO 65065-3510 | 2006-06-09 |
| 1679529085 | Kopiske Orthopedic Services | Durable Medical Equipment & Medical Supplies | 1191 Highway Kk, Suite 101, Osage Beach, MO 65065-3344 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497201131 | Nicole E. Parker | Psychologist | 980 Parkside Village Ln, Osage Beach, MO 65065-3098 | 2016-09-01 |
| 1376577080 | Lane Armstrong | Psychologist | 1191 Highway Kk, Ste. 101, Osage Beach, MO 65065-3510 | 2006-07-10 |
| 1942241203 | Lake Behavioral Health Associates, LLC | Psychologist | 1191 Highway Kk, Ste. 101, Osage Beach, MO 65065-3510 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
Please comment or provide details below to improve the information on MENTAL WELLNESS, LLC.
| 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.