Missouri Behavioral Health Counseling Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MISSOURI BEHAVIORAL HEALTH COUNSELING ASSOCIATES

Practice address

104 Crescent Dr
Lebanon, MO 65536-3301

Phone

(417) 664-4584

Fax

(417) 588-4296

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Sheila Jean BuieNPI 1457785875

Title

President/Ceo

Phone

(417) 588-5885

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 3

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

• Sheila Jean Buie, LPC

  • Professional Counselor
  • Lebanon, MO
  • NPI 1457785875
  Medicare reassignment NPD Authorized official
• John Randall Brandt, PH.D.

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1033669080
  Medicare reassignment NPD
• Denise Lorenz, LPC

  • Professional Counselor
  • Dixon, MO
  • NPI 1285817361
  Medicare reassignment NPD

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1245774348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CRESCENT DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363301",
            "telephone_number": "417-588-5885",
            "fax_number": "417-588-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CRESCENT DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363301",
            "telephone_number": "417-664-4584",
            "fax_number": "417-588-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI BEHAVIORAL HEALTH COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "BUIE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "417-588-5885"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Montgomery OD PC
• Ginger L Miller, RPH
• Gregory A Miller, MD
• Micheal J. Miller, D.C.
• Nakkia Danielle Miller, LPN
• Julie Mitchell, LPC
• Philip V. Mitchell, MD
• Michael R Montgomery, OD
• Charlotte A Moore, LPC
• Morgan Moore, DC

• Clinical Psychologist in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.