Synergy Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

2008002505 Issued in MO

Legal business name

SYNERGY RECOVERY CENTER

Practice address

3955 S Farm Road 223
Rogersville, MO 65742-8807

Phone

(417) 812-4440

Fax

(417) 208-5880

NPI assigned

Aug 13, 2015

Last updated

Aug 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ann Marie Loethen, LPC, NCC

Title

Clinical Director

Phone

(417) 812-4440

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 7

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.

• Ashley Christine Fletcher, LCSW

  • Clinical Social Worker
  • Springfield, MO
  • NPI 1174870257
  NPD (past)
• Jena Goodall, LPC

  • Professional Counselor
  • Rogersville, MO
  • NPI 1497928402
  NPD (past)
• Kristal Kae McCleary, LPC

  • Professional Counselor
  • Rogersville, MO
  • NPI 1922587252
  NPD (past)
• Sara L Roos

  • Professional Counselor
  • Rogersville, MO
  • NPI 1851953103
  NPD (past)
• Paige Tuck, LPC

  • Mental Health Counselor
  • Springfield, MO
  • NPI 1487141040
  NPD (past)
• Allyssa Denise Waterman, LPC

  • Professional Counselor
  • Rogersville, MO
  • NPI 1407509896
  NPD (past)
• Codie Jordan Vassar, M.D

  • Psychiatry Physician
  • Kenosha, WI
  • NPI 1538690995
  NPD (past)

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1326414350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 S FARM ROAD 223",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657428807",
            "telephone_number": "417-812-4440",
            "fax_number": "417-208-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 S FARM ROAD 223",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657428807",
            "telephone_number": "417-812-4440",
            "fax_number": "417-208-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "LOETHEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "417-812-4440",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MO",
            "license": "2008002505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie R. Smith, FNP
• Soundlife Hearing Technologies, LLC.
• Jessica Dawn Standeford, M.D.
• Bonnie Lisa Stark, FNP
• Kalli Svoboda, PHARM.D.
• The Healing Place
• Timothy Thompson, PHARM.D.
• Russell Thurman, PTA
• Jill Tillman, MPT
• Sarah Townlian

• Substance Abuse Rehabilitation Facility in Rogersville, MO
• Providers in Rogersville, MO by specialty
• Substance Abuse Rehabilitation Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.