BURRELL, INC. (NPI# 1275541740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275541740 |
| Entity Type | Organization |
| Organization Name | BURRELL, INC. |
| Other Organization Name | BURRELL BEHAVIORAL HEALTH |
| Practice Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Mailing Address |
2885 W Battlefield St Springfield MO 65807-3952 |
| Practice Telephone | 4177615000 |
| Practice Fax Number | 4177615011 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615011 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | JENNIFER LYNN GAGNON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4177615012 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 856168802 | 05 | |
| MO | 561028200 | 05 |
| Other Name | Type Code |
|---|---|
| Burrell Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942338504 | Burrell, Inc. | Substance Abuse Rehabilitation Facility | 1949 E Cherry St, Springfield, MO 65802-2952 | 2007-03-02 |
| 1114055076 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-01 |
| 1184166027 | Burrell, Inc. | Community/Behavioral Health | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2016-11-09 |
| 1821444753 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2016-05-10 |
| 1659727584 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2016-05-10 |
| 1346696572 | Burrell, Inc. | Pharmacy | 3401 Berrywood Dr, Suite 102, Columbia, MO 65201-6515 | 2016-05-06 |
| 1194190066 | Burrell, Inc. | Pharmacy | 323 E Grand St, Springfield, MO 65807-1447 | 2015-12-03 |
| 1265608962 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2008-05-02 |
| 1851429559 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-02 |
| 1760510465 | Burrell, Inc. | Case Management | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-02 |
| Street Address |
1300 E BRADFORD PKWY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175912 | Pascha J Boyd | Nurse Practitioner | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2005-06-22 |
| 1356942338 | Derek Lee Hennigh | Registered Nurse | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-05 |
| 1093316515 | Susan B Nutter | Pharmacist | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-11-02 |
| 1285234336 | Logan L Comegys | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-28 |
| 1568060192 | Christine M Reinheimer | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-15 |
| 1760089288 | Michele Litchy | Counselor | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-10-07 |
| 1770190092 | Rebecca D Mcgarry | Social Worker | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-30 |
| 1467066159 | Jamie Audsley | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
| 1720692429 | Shamon Williams | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-09-01 |
| 1831702448 | Stephanie M Brodwater | Case Manager/Care Coordinator | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1972159770 | Dr. Wadeson, LLC | Community/Behavioral Health | 5133 S Campbell Ave Ste 204, Springfield, MO 65810-2437 | 2019-08-16 |
| 1407408081 | Treasure of Hope Florida Inc | Community/Behavioral Health | 44 Edgewood St, Springfield, MA 01109-3025 | 2019-07-12 |
| 1013577642 | Latino Counseling Center, Inc | Community/Behavioral Health | 125 Liberty St Ste 100, Springfield, MA 01103-1109 | 2019-06-17 |
| 1871157768 | Able Autism Care LLC | Community/Behavioral Health | 54 Bissell St, Springfield, MA 01119-1451 | 2019-04-25 |
| 1528535770 | Tenea Claudette Davis | Community/Behavioral Health | 122 Chestnut St, Springfield, MA 01103-1538 | 2018-10-25 |
| 1982195707 | Asra Mir | Community/Behavioral Health | 140 High St Ste 2, Springfield, MA 01105-1442 | 2018-05-29 |
| 1558895375 | Legacy Counseling LLC | Community/Behavioral Health | 6564 Loisdale Ct Ste 600, Springfield, VA 22150-1829 | 2017-04-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.