OVERCOMERS COUNSELING CENTER INC (NPI# 1154935112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154935112 |
| Entity Type | Organization |
| Organization Name | OVERCOMERS COUNSELING CENTER INC |
| Practice Address |
17101 East 203rd St Peculiar MO 64078 |
| Mailing Address |
941 Selby Ct Raymore MO 64083 |
| Practice Telephone | 8162555375 |
| Mailing Telephone | 8162556375 |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |
| Authorized Official Name | LUCINDA GRACE PENNINGTON (OWNER/COUNSELOR) |
| Authorized Official Telephone | 8162555375 |
| Authorized Official Credential | MS/MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Lucinda Grace Pennington LLC | Other Name - Individual/Organization |
| Street Address |
17101 EAST 203RD ST |
| City | PECULIAR |
| State | MO |
| Zip Code | 64078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361587 | Tanner Christensen | Chiropractor | C, 201 State Hwy C, Peculiar, MO 64078 | 2019-02-07 |
| 1699247981 | Lucinda Pennington | Counselor | 17101 E 203rd St, Peculiar, MO 64078 | 2018-12-26 |
| 1891212189 | Kathleen Johnston | Occupational Therapist | 21005 S School Rd., Pecuilar, MO 64078 | 2017-08-28 |
| 1881076404 | Thayer Banwart | Chiropractor | 201 State C Hwy, Peculiar, MO 64078 | 2015-06-19 |
| 1952585978 | Mbch Children and Family Ministries | Voluntary or Charitable | 20509 S. State Rte J, Peculiar, MO 64078 | 2007-12-27 |
| 1487871471 | Raymore-peculiar Reorganized School | Physical Therapist | 21005 S School Road, Peculiar, MO 64078-0366 | 2007-04-19 |
| 1235215278 | Christy Grimes | Social Worker | 20509 South State Route J, Peculiar, MO 64078-0447 | 2006-10-31 |
| 1720225675 | Balanced Health | Chiropractor | 215 N Main St, Peculiar, MO 64078-2522 | 2009-01-14 |
| 1073671483 | Sheryl Lynn Phillips | Pharmacist | 219 N Main St, Peculiar, MO 64078-2522 | 2006-12-05 |
| 1356420525 | Amy M Briner | Pharmacist | 219 N Main St, Peculiar, MO 64078-2522 | 2006-11-06 |
| Find all providers in zip 64078 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720642010 | Southview Health Care, LLC. | Community Based Residential Treatment Facility, Mental Illness | 951 Creamery Rd, West Plains, MO 65775-6052 | 2019-04-23 |
| 1902369663 | Anna Dodson Home LLC | Community Based Residential Treatment Facility, Mental Illness | 4616 Hwy D, Farmington, MO 63640-7241 | 2019-04-10 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1467919233 | Ted-lea, Inc. | Community Based Residential Treatment Facility, Mental Illness | 9444 Midland Blvd, Overland, MO 63114-3328 | 2019-02-27 |
| 1639633290 | Synergy Executive, LLC | Community Based Residential Treatment Facility, Mental Illness | 2608 Smyrna Rd, Ozark, MO 65721-7674 | 2019-01-29 |
| 1467958553 | Swope Health Services | Community Based Residential Treatment Facility, Mental Illness | 2614 Benton Blvd, Kansas City, MO 64127-4149 | 2018-04-05 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1689098188 | Venus Independent Living LLC | Community Based Residential Treatment Facility, Mental Illness | 301 S Coffey St, Vienna, MO 65582-8862 | 2014-02-05 |
| 1699108381 | Sunny Hill, Inc. | Community Based Residential Treatment Facility, Mental Illness | 134 Gray St, Festus, MO 63028-1949 | 2013-08-16 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OVERCOMERS COUNSELING CENTER INC.
| 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.