Bootheel Counseling Services
Organization Active NPI Rural Health Clinic/Center · Sikeston, MO
NPI 1497064547 · NPPES record last updated Oct 6, 2010
Key facts
- NPI
- 1497064547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Cheryl Jones
- Title
- Executive Director
- Phone
- (573) 471-0800
Other NPIs on the same Medicare enrollment 1
Practitioners 29
-
Tonya Marie Adams, LMSW
-
Sherri D. Bathen, LCSW
-
Shelby Paige Bollinger, PMHNP-BC
-
Hope Lynn Boyle-Jacobs, PMHNP
-
Karen Crane, MA, NCC, PLPC
-
Kasie Delay, LCSW
-
Shelby Hailey, MA, PLPC, NCC
-
Murtaza Hayat, M.D
-
Christi Lyn Jameson, MSN, APRN, FNP-BC
-
Durga Poudel, PMHNP
-
Michelle E Powers, LCSW
-
Haven Price, DO
-
Juan Carlos Salazar, M.D.
-
Tabatha M Shankle, LCSW
-
Katey Ann Stafford, PMHNP
-
Amy Watkins, FNP-C
-
Michael Ziegler, MS, NCC, PLPC
-
Lori J Blankenship, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
760 Plantation Blvd
Sikeston, MO 63801-5736
Mailing address
760 Plantation Blvd
Sikeston, MO 63801-5736
Phone (573) 471-0800
Other providers in Sikeston, MO
- Valerie Lynne Bollinger
- Andrea Kaye Bone
- Donna Jean Boone-Springer
- Bootheel Counseling Services
- Bootheel Counseling Services
- Bootheel Counseling Services
- Bootheel Counseling Services
- Bootheel Counseling Services
- Bootheel Counseling Services
- Bootheel Counseling Services
All providers in Sikeston, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2010. 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.