Amanda Crabtree, PLPC
Individual provider Active NPI Mental Health Counselor · Boonville, MO
NPI 1265799415 · NPPES record last updated Apr 12, 2012
Key facts
- NPI
- 1265799415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2011036951 (MO)
- Practice address
- 413 E Spring St
Boonville, MO 65233-1573 - Phone
- (660) 882-6400
- NPI assigned
- Apr 12, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Chris Lawrence and Associates LLC
Practice addresses (Care Compare)
201 W Broadway
Columbia, MO 65203-3842
Phone (573) 214-0436
201 W Broadway BLDG 2 F
Columbia, MO 65203-3842
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 |
|---|---|---|---|---|
| I20241226001929 | MO | Practitioner - Mental Health Counselor | 9739616061 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris Lawrence and Associates, LLC. | Mental Health | Current |
Accepting new patients |
| Insight Dynamics LLC | Past |
Accepting new patients | |
| Walking Peace | Past |
Accepting new patients |
Locations
201 W Broadway
Ste 2F
Columbia, MO 65203
Phone (573) 214-0436
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2011036951 | MO | Yes |
Addresses
Primary practice location
413 E Spring St
Boonville, MO 65233-1573
Mailing address
16801 N Edgeview Rd
Centralia, MO 65240-3741
Phone (573) 696-0661
Other providers in Boonville, MO
- Cooper County Memorial Hospital
- Cooper County Memorial Hospital
- Cooper County Public Health Center
- Donette Dee Cornett
- Shelbey Allyn Costello
- Dancing Horizon Health Foundation, Inc.
- Dancing Horizon Health LC
- David L Remington OD PC
- David Remington
- Dialysis Clinic Inc.
All providers in Boonville, MO · Mental Health 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 Apr 12, 2012. 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.