BHG Lxxiv, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BHG LXXIV, LLC

Doing business as

BHG Medical Services - Missouri

Practice address

2919 E 4TH St
Joplin, MO 64801-1625

Phone

(417) 782-7966

Fax

(417) 624-4558

NPI assigned

Dec 7, 2022

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BHG LXXIV, LLCAs reported in NPPES

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

Authorized official

Name

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 2

Addresses

Other names 1

• BHG Medical Services - Missouri Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1255042594

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kansas City, MO
  • NPI 1528779873

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Poplar Bluff, MO
  • NPI 1629789961

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Plains, MO
  • NPI 1710698055

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982314175

  O20230718001201

  Same enrollment
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982315230

  O20230718001201

  Same enrollment

Tax ID family

BHG Lxxiv LLC7 organizations share this tax ID, including this one

Part of

BHG Lxxiv LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1255042594
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kansas City, MO
  • NPI 1528779873
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Poplar Bluff, MO
  • NPI 1629789961
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Plains, MO
  • NPI 1710698055
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982314175
  NPD tax ID
• BHG Lxxiv, LLC

  dba BHG Medical Services - Missouri

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MO
  • NPI 1982315230
  NPD tax ID

Practitioners 21

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.

• Elaine Blevins, NP-C

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1245471994
  NPD
• Sarah Canoy, MD

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1639529746
  NPD
• Mark Luther Carlson, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Springfield, MO
  • NPI 1528192150
  NPD
• William Carpenter

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1164787594
  NPD
• Becky A. Cumley, NP-C

  • Family Nurse Practitioner
  • Springfield, MO
  • NPI 1194966713
  NPD
• Devona J Gibbs, FNP

  • Critical Care Medicine Nurse Practitioner
  • Poplar Bluff, MO
  • NPI 1215915889
  NPD
• Cheryl A Hemme, MD

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1356399463
  NPD
• Shawn Stranckmeyer, MD

  • Addiction Medicine (Family Medicine) Physician
  • Springfield, MO
  • NPI 1558776229
  NPD
• Celeste Hope Williams, APRN

  • Family Nurse Practitioner
  • West Plains, MO
  • NPI 1689650855
  NPD
• Tabassum Saba, MD

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1427067230
  NPD
• Ashley Bennett, MAADC1

  • Addiction (Substance Use Disorder) Counselor
  • Joplin, MO
  • NPI 1124511217
  NPD (past)
• Daniel Bingham, MSW, RASAC II

  • Clinical Social Worker
  • Joplin, MO
  • NPI 1891140810
  NPD (past)

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1437860772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY ROAD",
            "address_2": "SUITE 600 EAST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 E 4TH ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011625",
            "telephone_number": "417-782-7966",
            "fax_number": "417-624-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXXIV, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BHG LXXIV, LLC",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services - Missouri",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHG Medical Services - Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teressa Kay Berry, LCSW, RPT
• Bethesda Resources Inc (Freeman Cancer Institute)
• Bernard F Bettasso, M.D.
• Amanda Betts
• Dennis W Bezold, O.D.
• Christopher R Biastock
• Nonna Catherine Bickett, PLPC
• Kelly Susanne Biddle, D.O.
• Ashley Bigby, APRN, FNP-C
• Fred D Biggs, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.