Supported Living and Employment Services, Inc.

Key facts

NPI: 1386022101
Entity type: Organization (NPI type 2)
Primary specialty: Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License: CC01430115 (MO)
Legal business name: SUPPORTED LIVING AND EMPLOYMENT SERVICES, INC.
Practice address: 2885 W Battlefield St
Springfield, MO 65807-3952
Phone: (417) 869-8911
NPI assigned: May 13, 2015
Organization subpart: No

Authorized official

Name: Amanda R Carter
Title: Vice President, Managed Care
Phone: (417) 761-5126

Practitioners 5

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

Jillian R Pointer, MS, LPC Professional Counselor · Springfield, MO · NPI 1275015109

Medicare reassignment MO
Joanna Biggs Licensed Practical Nurse · Rolla, MO · NPI 1457075996

NPD
Ellen S Hardin, RN Registered Nurse · Rolla, MO · NPI 1336916337

NPD
Brandy Hendricks, RN Registered Nurse · Rolla, MO · NPI 1801584842

NPD
Kathryn M McKnight, MA, LPC Professional Counselor · Rolla, MO · NPI 1598443293

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20260409003856	MO	Part B Supplier - Clinic/Group Practice	2062987746	Receives reassigned benefits from 1 practitioner Practice locations: Aurora, MO; Springfield, MO; Rolla, MO; Poplar Bluff, MO; Perryville, MO; Kansas City, MO; Ava, MO; Cape Girardeau, MO…

National Provider Directory

Locations

302 E Dyer St
Ste 102
Aurora, MO 65605
Phone (417) 678-0123

4745 S 131st Rd
Bolivar, MO 65613
Phone (417) 761-6010

926 N Business Route 5
Camdenton, MO 65020
Phone (573) 346-2487

3105 Independence St
Ste B
Cape Girardeau, MO 63703
Phone (573) 334-4477

700 E Hospital Rd
El Dorado Springs, MO 64744
Phone (417) 876-8112

801 Westchester Ave
Harrisonville, MO 64701
Phone (816) 884-3008

710 S Maiden Ln
Joplin, MO 64801
Phone (417) 626-0008

1333 NW Vivion Rd
Ste 200
Kansas City, MO 64118
Phone (816) 353-2750

1212 E State Route 72
Ste 8
Rolla, MO 65401
Phone (573) 308-3400

1208 E State Route 72
Rolla, MO 65401
Phone (573) 341-2606

2400 Independence Sq
West Plains, MO 65775
Phone (417) 255-8645

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Community/Behavioral Health Agency	251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	CC01430115	MO	Yes

Addresses

Primary practice location

2885 W Battlefield St
Springfield, MO 65807-3952

Mailing address

1111 S Glenstone Ave Ste 3-100
Springfield, MO 65804-0397
Phone (417) 869-8911

Other practice location 1

2981 Kanell Blvd
Poplar Bluff, MO 63901-4008
Phone (573) 776-1941

Other practice location 2

926 N Business Route 5
Camdenton, MO 65020-2648
Phone (573) 346-2487

Other practice location 3

1208 E State Route 72
Rolla, MO 65401-3938
Phone (573) 341-2606

Other practice location 4

1111 S Glenstone Ave Ste 3-100
Springfield, MO 65804-0397
Phone (417) 869-8911

Other practice location 5

3105 Independence St Ste B
Cape Girardeau, MO 63703-5042
Phone (573) 334-4477

Other practice location 6

2626 W College Rd
Springfield, MO 65802-4637
Phone (417) 869-8086

Other practice location 7

801 Westchester Ave
Harrisonville, MO 64701-1784
Phone (816) 884-3008

Other practice location 8

700 E Hospital Rd
El Dorado Springs, MO 64744-2315
Phone (417) 876-8112

Other practice location 9

4745 S 131st Rd
Bolivar, MO 65613-2886
Phone (417) 761-6010

Other practice location 10

302 E Dyer St Ste 102
Aurora, MO 65605-8803
Phone (417) 678-0123

Other practice location 11

7710 E 102nd St
Kansas City, MO 64134-2013
Phone (816) 595-6365

Other practice location 12

2400 Independence Sq
West Plains, MO 65775-4229
Phone (417) 257-1545

Other practice location 13

7 Westowne St
Liberty, MO 64068-1166
Phone (417) 884-3008

Other practice location 14

1103 Weber Rd
Farmington, MO 63640-3345
Phone (800) 587-2539

Other practice location 15

2000 S Maiden Ln
Joplin, MO 64804-0343
Phone (417) 659-9911

Other practice location 16

111 N Elm St
Nevada, MO 64772-2609
Phone (417) 667-2233

Other practice location 17

1333 NW Vivion Rd Ste 200
Kansas City, MO 64118-4535
Phone (816) 353-2750

Other practice location 18

141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460

Other practice location 19

710 S Maiden Ln
Joplin, MO 64801-3802
Phone (417) 626-0008

Other practice location 20

6220 Blue Ridge Cutoff Ste 300
Raytown, MO 64133-3730
Phone (816) 326-8400

Other identifiers

Identifier	Type	State	Issuer
853297406	Medicaid	MO

Other names

Firefly Doing business as

Other providers in Springfield, MO

All providers in Springfield, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. 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.

Verify at the official NPI Registry.