Seasons Counseling Center LLC
Organization Active NPI Clinical Social Worker · Park Hills, MO
NPI 1104783158 · NPPES record last updated May 7, 2026
Key facts
- NPI
- 1104783158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- SEASONS COUNSELING CENTER LLC
- Practice address
- 103 Strauss Dr
Park Hills, MO 63601-2400 - Phone
- (573) 701-1675
- NPI assigned
- Jan 9, 2026
- Organization subpart
- No
Authorized official
- Name
- Lee A Roberts, LCSW
- Title
- Ceo
- Phone
- (573) 701-1675
Practitioners 1
-
Lee Ann Roberts, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260512003121 | MO | Part B Supplier - Clinic/Group Practice | 1759866692 |
Receives reassigned benefits from 1 practitioner Practice locations: Bonne Terre, MO; Park Hills, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
103 Strauss Dr
Park Hills, MO 63601-2400
Mailing address
1590 Cedar Valley Dr
Bonne Terre, MO 63628-4021
Phone (573) 701-1675
Other providers in Park Hills, MO
- Lee Ann Roberts
- Legacy Grace Robinson
- Rocky Creek Youth Ranch Incorportated
- Karen Rose
- Jeffrey Joseph Rustige
- Serenity Hospicecare
- Deborah L Sherrill
- Matthew David Sherrill
- Michael Sherrill
- Gayla D Sisk
All providers in Park Hills, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.