Raleigh Abell, LPC
Individual provider Active NPI Professional Counselor · Rolla, MO
NPI 1083189104 · NPPES record last updated Oct 4, 2018
Key facts
- NPI
- 1083189104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2010039663 (MO)
- Practice address
- 1051 Kingshighway St Ste 5
Rolla, MO 65401-2981 - Phone
- (573) 364-8511
- NPI assigned
- Oct 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117002758 | MO | Practitioner - Mental Health Counselor | 3870945678 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Single Specialty | Current |
Accepting new patients |
| Compass Health, Inc | Current |
Accepting new patients | |
| Southeast Missouri Behavioral Health Inc | Single Specialty | Past |
Accepting new patients |
| Southeast Missouri Behavioral Health | Past | Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1780 Old Highway 50 E
Ste 111
Union, MO 63084
Phone (636) 584-0305
1780 Old Highway 50 E
Ste 102
Union, MO 63084
Phone (636) 583-1611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 2010039663 | MO | Yes |
Addresses
Primary practice location
1051 Kingshighway St Ste 5
Rolla, MO 65401-2981
Mailing address
PO Box 459
Farmington, MO 63640-0459
Other providers in Rolla, MO
- 1 Wellness, LLC
- A-1 Hearing Aid Service LLC
- Nurelign G. Abebe
- Access Dental Services LP
- Laura Adams
- Addus Health Care Inc
- Addus Health Care Inc
- Addus Health Care Inc
All providers in Rolla, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.