The Tristn Jevon Center for Recovery

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE TRISTN JEVON CENTER FOR RECOVERY

Practice address

704 Wollard Blvd
Richmond, MO 64085-2205

Phone

(816) 470-0118

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By 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

Robert Cox, LPCNPI 1114393394

Title

Executive Director

Phone

(816) 470-0118

Specialties & licenses 4

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Robert R. Cox, MA, NCC, PLPC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Liberty, MO
  • NPI 1114393394
  Authorized official Same address or phone

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1639842016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852205",
            "telephone_number": "816-470-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Westowne St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640681166",
            "country_code": "US",
            "telephone_number": "816-470-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE TRISTN JEVON CENTER FOR RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-470-0118",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert@tjrecovery.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "10 Westowne St",
            "city": "Liberty",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640681166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Special Needs Services of Ray County
• Mya Stayton, DO
• Nicole Stephenson, SLP
• Steven W Fawks DDS PC
• Robin Earl Stith, R.PH
• Everett D. Thompson, RPH
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0325)
• Wal-Mart Stores East, LP (Vision Center 30-0325)
• Haley Ware
• Philip Ware

• Mental Health Counselor in Richmond, MO
• Providers in Richmond, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.