Insightful Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INSIGHTFUL BEHAVIORAL HEALTH

Practice address

1600 W Maud Street
Ste 2
Poplar Bluff, MO 63901-2428

Phone

(573) 840-0615

NPI assigned

Jan 12, 2022

Last updated

Jun 1, 2023By 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

Mr. Harold B Rose III, LCSWNPI 1265071484

Title

Owner

Phone

(573) 915-2251

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

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.

• Harold Bernard Rose III, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1265071484
  Medicare reassignment NPD Authorized official
• Maria L. Francisco, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1578843124
  NPD
• Kristie Lynne Keasler, BSW MS/LPC

  • Counselor
  • Poplar Bluff, MO
  • NPI 1811328958
  NPD
• Lori Lady, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1518724566
  NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1417608407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 GREENWOOD DR STE A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012428",
            "telephone_number": "573-840-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W MAUD STREET",
            "address_2": "STE 2",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012428",
            "telephone_number": "573-840-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHTFUL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-915-2251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://insightfulbehavioralhealth.clientsecure.me",
            "affiliation": "N",
            "address_1": "1910 Greenwood Dr Ste A",
            "city": "Poplar Bluff",
            "state": "MO",
            "country_code": "US",
            "postal_code": "639012428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.