Rhonda S Blackwell-Althage, LPC
Individual provider Active NPI Professional Counselor · St. James, MO
NPI 1124003322 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1124003322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 13160 County Rd 3610
St. James, MO 65559 - Phone
- (573) 265-3251
- Fax
- (573) 265-2508
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Counseling Center Inc
Practice addresses (Care Compare)
3001 Warrior LN
Poplar Bluff, MO 63901-8685
Phone (573) 686-1200
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 |
|---|---|---|---|---|
| I20240610002736 | MO | Practitioner - Mental Health Counselor | 2466994165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Current |
Accepting new patients | |
| Family Counseling Center, Inc. | Current |
Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
Locations
3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 785-7453
Interoperability endpoints
- rhondablackwellalthage@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
13160 County Rd 3610
St. James, MO 65559
Mailing address
1060 E Springfield Rd
Sullivan, MO 63080-1361
Phone (314) 541-9930
Other practice location 1
3001 Warrior Ln
Poplar Bluff, MO 63901-8685
Phone (573) 686-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496041625 | Medicaid | MO |
Other names
- Rhonda S Blackwell
Other providers in St. James, MO
- Brenna Barber
- Emily Skyler Barnes
- Debra Lynn Barraclough
- Grace S. Beaumont
- Allison Blacksher
- Tiffany Gail Bland
- Jordyn Lynn Merchant Bolton
- Boys and Girls Town of Missouri
- Boys and Girls Town of Missouri
- Diana Brandt
All providers in St. James, 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 Jun 3, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.