NPIMap

Organization Active NPI

Samaritan Counseling Center Inc.

Doing business as The Center, a Samaritan Counseling Center

  • Clinical Social Worker
  • Saint Joseph, MO
National Provider Identifier
1255331005
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000363 Issued in MO
Legal business name
SAMARITAN COUNSELING CENTER INC.
Doing business as
The Center, a Samaritan Counseling Center
Practice address
902 Edmond St
Ste 203
Saint Joseph, MO 64501-2702
Phone
(816) 364-4300
Fax
(816) 279-8148
NPI assigned
Jul 22, 2005
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Mrs. Carolyn S Paden, RN BSN MBA
Title
Executive Director
Phone
(816) 364-4300

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 076353 MO
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 089198 MO
Pastoral Counselor 101YP1600X 011083 MO
Professional Counselor 101YP2500X 2001004281 MO
Psychologist 103T00000X 01907 MO
Psychologist 103T00000X 2003024040 MO
Clinical Social Worker 1041C0700X SW000353 MO
Clinical Social Worker 1041C0700X 000363 MO Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Psychiatry Physician 2084P0800X R3114 MO
Child & Adolescent Psychiatry Physician 2084P0804X R9N47 MO

Addresses

Primary practice location

902 Edmond St
Ste 203
Saint Joseph, MO 64501-2702

Mailing address

902 Edmond St
Ste 203
Saint Joseph, MO 64501-2702
Phone (816) 364-4300

Other identifiers 2

IdentifierTypeStateIssuer
500323209MedicaidMO
C980000OtherMEDICARE PTAN

Other names 2

  • The Center, a Samaritan Counseling Center Doing business as
  • Samaritan Counseling Center, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000668 MO Part B Supplier - Clinic/Group Practice 0547161440 Receives reassigned benefits from 8 practitioners
Practice locations: Saint Joseph, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2085898Samaritan Counseling Center Inc902 Edmond Ste 203, St Joseph, MO 64501Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

902 Edmond St
Ste 203
Saint Joseph, MO 64501
Phone (816) 279-4583

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1255331005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST",
            "address_2": "STE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012702",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 EDMOND ST",
            "address_2": "STE 203",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012702",
            "telephone_number": "816-364-4300",
            "fax_number": "816-279-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "PADEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-364-4300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN MBA"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "076353",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MO",
            "license": "089198",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MO",
            "license": "011083",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001004281",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01907",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2003024040",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW000353",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000363",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R3114",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "R9N47",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500323209",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C980000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center, a Samaritan Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Samaritan Counseling Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.