NPIMap

Organization Active NPI

Bootheel Counseling Services

  • Rural Health Clinic/Center
  • Sikeston, MO
National Provider Identifier
1497064547
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BOOTHEEL COUNSELING SERVICES
Practice address
760 Plantation Blvd
Sikeston, MO 63801-5736
Phone
(573) 471-0800
Fax
(573) 471-0810
NPI assigned
Oct 6, 2010
Last updated
Oct 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Cheryl Jones
Title
Executive Director
Phone
(573) 471-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

760 Plantation Blvd
Sikeston, MO 63801-5736

Mailing address

760 Plantation Blvd
Sikeston, MO 63801-5736
Phone (573) 471-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802000153 MO Part B Supplier - Clinic/Group Practice 5496725145 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sikeston, MO

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1497064547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PLANTATION BLVD",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015736",
            "telephone_number": "573-471-0800",
            "fax_number": "573-471-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PLANTATION BLVD",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015736",
            "telephone_number": "573-471-0800",
            "fax_number": "573-471-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHEEL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-471-0800"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.