FAMILY COUNSELING CENTER OF MISSOURI, INC (NPI# 1740503135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740503135 |
| Entity Type | Organization |
| Organization Name | FAMILY COUNSELING CENTER OF MISSOURI, INC |
| Practice Address |
117 N Garth Ave Columbia MO 65203-4103 |
| Practice Telephone | 5734432204 |
| Practice Fax Number | 5738755851 |
| Mailing Telephone | 5734432204 |
| Mailing Fax Number | 5738755851 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Authorized Official Name | MR. ALLAN TACKER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5734432204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CRJC GENERAL POPULATION CONTRACT | 11111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952446700 | Family Counseling Center of Missouri, Inc | Substance Abuse Rehabilitation Facility | 201 N Garth Ave, Columbia, MO 65203-4105 | 2007-02-20 |
| Street Address |
117 N GARTH AVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792396 | Linda F. Graue | Social Worker | 117 N Garth Ave, Family Counseling Center, Columbia, MO 65203-4103 | 2005-06-30 |
| 1992263743 | Megan Marie Jones | Social Worker | 117 N Garth Ave, Columbia, MO 65203-4103 | 2019-03-11 |
| 1245722255 | Megan Danielle Bogue | Counselor | 117 N Garth Ave, Columbia, MO 65203-4103 | 2018-06-05 |
| 1497288427 | Kelsey Esser Templeton | Social Worker | 117 N Garth Ave, Columbia, MO 65203-4103 | 2017-04-06 |
| 1952841959 | Robin L Crowe | Licensed Practical Nurse | 117 N Garth Ave, Columbia, MO 65203-4103 | 2017-02-24 |
| 1164964839 | Emily Ghaly | Social Worker | 117 N Garth Ave, Columbia, MO 65203-4103 | 2016-11-13 |
| 1730539016 | Amber Schilb | Counselor | 117 N Garth Ave, Columbia, MO 65203-4103 | 2016-06-16 |
| 1013376615 | Courtney Alexis Haynes | Social Worker | 117 N Garth Ave, Columbia, MO 65203-4103 | 2016-02-11 |
| 1245605856 | Benjamin Harvey Baker | Counselor | 117 N Garth Ave, Columbia, MO 65203-4103 | 2015-12-08 |
| 1558746685 | Amber Elizabeth Mccadney | Counselor | 117 N Garth Ave, Columbia, MO 65203-4103 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1013466937 | Life Renewal Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-10-04 |
| 1811446057 | Life's Potential Services | Clinic/Center | 10805 Hickory Ridge Rd, Suite 103, Columbia, MD 21044-3626 | 2016-09-29 |
| 1912354572 | Phoenix Programs, Inc. | Clinic/Center | 90 E Leslie Ln, Columbia, MO 65202-1535 | 2016-05-24 |
| 1013361062 | Maryland Treatment Centers, Inc. | Clinic/Center | 8930 Stanford Blvd, Columbia, MD 21045-5805 | 2016-04-15 |
| Find all providers in COLUMBIA | ||||
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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.