North Central Missouri Mental Health Center
Organization Active NPI Community/Behavioral Health Agency · Trenton, MO
NPI 1154863306 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1154863306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER
- Practice address
- 1601 E 28TH St
Trenton, MO 64683-1178 - Phone
- (660) 359-4487
- Fax
- (660) 359-4129
- NPI assigned
- Nov 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Loryne D Irvine, LCSW
- Title
- Executive Director
- Phone
- (660) 359-4487
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 7
Practitioners 16
-
Jan Lucile Altiser, PMHNP-BC
-
Maeanne I Browning, LPC
-
Craig Collins, LPC
-
Amanda Kay Cuminale, LCSW
-
Stanley Kipkulei, NP
-
Roy Neal Lovell, LPC
-
Kenneth Richards, D.O.
-
Raven Anne Tranbarger, LCSW
-
Jane Wilmes, LCSW
-
Sonia Ike, PMHNP-BC
-
Jill C. Miller, MSW, LISW-S
-
Kelli Urton, PLMHP
-
Brooke A Leamer, MS, PLCP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050204000544 | MO | Part B Supplier - Clinic/Group Practice | 5092766204 |
Receives reassigned benefits from 15 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chillicothe, MO; Unionville, MO; Trenton, MO; Milan, MO; Gallatin, MO; Brookfield, MO; Bethany, MO |
National Provider Directory
- Tax ID family
- North Central Missouri Mental Health Center
Locations
4114 Miller St
Bethany, MO 64424
Phone (660) 359-4487
1102 W Helm St
Brookfield, MO 64628
Phone (660) 359-4487
401 Youssef Dr
Chillicothe, MO 64601
Phone (660) 359-4487
220 E 3rd St
#B
Milan, MO 63556
Phone (660) 359-4487
1615 Union St
Unionville, MO 63565
Phone (660) 359-4487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1601 E 28TH St
Trenton, MO 64683-1178
Mailing address
PO Box 30
Trenton, MO 64683-0030
Phone (660) 359-4487
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020000A | Other | PTAN | |
| 21371013 | Other | MO | BLUE CROSS BLUE SHIELD |
Other providers in Trenton, MO
- Kendall Nienhuser
- North Central Missouri Children'S Advocacy Center
- North Central Missouri Children'S Advocacy Center
- North Central Missouri Mental Health
- North Central Missouri Mental Health Center
- North Central Missouri Mental Health Center
- North Central Missouri Mental Health Center
- North Central Missouri Mental Health Center
- North Central Missouri Mental Health Center
- North Central Missouri Mental Health Center
All providers in Trenton, MO · Community/Behavioral Health Agency in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. 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.