Organization Active NPI

Associated Counseling Services, Inc.

  • Clinical Social Worker
  • Cape Girardeau, MO
National Provider Identifier
1104996750
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ASSOCIATED COUNSELING SERVICES, INC.
Practice address
1221 N Kingshighway St
Imperial Building
Cape Girardeau, MO 63701-3506
Phone
(573) 335-7929
Fax
(573) 335-6445
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Lynn Johnston, PH.D., LCSW, LPCNPI 1972673556
Title
President
Phone
(573) 335-7929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1221 N Kingshighway St
Imperial Building
Cape Girardeau, MO 63701-3506

Mailing address

PO Box 645
Cape Girardeau, MO 63702-0645
Phone (573) 335-7929

Other identifiers 1

IdentifierTypeStateIssuer
759297OtherHEALTHLINK

Other names 1

  • Associated Counseling Services Former legal business name

National Provider Directory

National Provider Directory

Locations

1221 N Kingshighway St
Cpe Girardeau, MO 63701
Phone (573) 335-7929

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104996750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637020645",
            "telephone_number": "573-335-7929",
            "fax_number": "573-335-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N KINGSHIGHWAY ST",
            "address_2": "IMPERIAL BUILDING",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637013506",
            "telephone_number": "573-335-7929",
            "fax_number": "573-335-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-335-7929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "759297",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Counseling Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.