VCPHCS XV, LLC (NPI# 1144666264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144666264 |
| Entity Type | Organization |
| Organization Name | VCPHCS XV, LLC |
| Practice Address |
2919 E 4th St Joplin MO 64801-1625 |
| Mailing Address |
5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 |
| Practice Telephone | 4177827966 |
| Practice Fax Number | 4176244558 |
| Mailing Telephone | 2143656100 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | JEMECE MICHELLE GASAWAY (DIRECTOR OF LICENSING) |
| Authorized Official Telephone | 2143656126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1305-3 | MO | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1305-3 | MO | Ambulatory Health Care Facilities |
| Street Address |
2919 E 4TH ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089413 | Theresa Kay Burwick | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2019-05-22 |
| 1124511217 | Ashley Bennett | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2018-06-13 |
| 1891140810 | Daniel Bingham | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2016-04-27 |
| 1821422460 | Michael Peterman | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-30 |
| 1710311493 | Shelia Diane Howe | Licensed Practical Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1821422502 | Linda Ann Bogue | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1104250885 | Gary Jamett | Licensed Practical Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-29 |
| 1073947859 | Christopher Sampson | Counselor | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-28 |
| 1134553191 | Valery Jean Slaton | Registered Nurse | 2919 E 4th St, Joplin, MO 64801-1625 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134574411 | Family Self Help Center, Inc. | Clinic/Center | 1809 S Connor Ave, Joplin, MO 64804-1837 | 2016-04-25 |
| 1851745707 | Ozark Center | Clinic/Center | 1105 E 32nd St, Suite 2, Joplin, MO 64804-2879 | 2016-04-18 |
| 1205984812 | Ozark Center | Clinic/Center | 3006 Mc Clelland Blvd, Joplin, MO 64804-1637 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179057 | Gateway Foundation, Inc. | Clinic/Center | 1430 Olive St Ste 300, Saint Louis, MO 63103-2303 | 2017-08-04 |
| 1700233145 | New Beginnings C-star | Clinic/Center | 1408 N Kingshighway Blvd Ste 4, Saint Louis, MO 63113-1426 | 2016-05-16 |
| 1629432182 | Clark Community Mental Health Center | Clinic/Center | 1701 N Central Ave, Monett, MO 65708 | 2016-04-11 |
| 1083024061 | Avertest, LLC | Clinic/Center | 4709 Laguardia Dr, Suite 100, Saint Louis, MO 63134 | 2014-04-30 |
| 1659718609 | Hannibal Council On Alcohol & Drug Abuse | Clinic/Center | 146 Communication Dr, Hannibal, MO 63401-3672 | 2013-05-31 |
| 1194026765 | Family Counseling Center, Inc. | Clinic/Center | 500 Us Hwy 61 North, Hayti, MO 63851 | 2010-11-12 |
| 1942501143 | Swope Health Services | Clinic/Center | 3950 E 51st St, Kansas City, MO 64130-3081 | 2010-11-04 |
| 1750682043 | Black Alcohol/drug Service Information Center | Clinic/Center | 3026 Locust St, Saint Louis, MO 63103-1329 | 2010-11-03 |
| 1932412186 | Comprehensive Mental Health Services, Inc/renaisance West | Clinic/Center | 5840 Swope Pkwy, Kansas City, MO 64130-4262 | 2010-07-16 |
| 1609194448 | Southeast Missouri Behavioral Health | Clinic/Center | 216 Piedmont Ave Ste 304, Piedmont, MO 63957-1017 | 2010-05-04 |
| 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.