Organization Active NPI

Shouse Therapeutic Behavioral Center, LLC

  • Behavior Analyst
  • Springfield, MO
National Provider Identifier
1699604587
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SHOUSE THERAPEUTIC BEHAVIORAL CENTER, LLC
Practice address
3045 S Kansas Expy
Springfield, MO 65807-5969
Phone
(417) 429-1780
NPI assigned
May 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Dr. Amanda Shouse, EDD
Title
Executive Director/Owner
Phone
(708) 921-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3045 S Kansas Expy
Springfield, MO 65807-5969

Mailing address

5156 S Walnut Hill Rd
Springfield, MO 65810-2008
Phone (708) 921-8710

National Provider Directory

National Provider Directory

Locations

2616 E Battlefield Rd
Springfield, MO 65804
Phone (708) 921-8710

3045 S Kansas Expy
Springfield, MO 65807

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1699604587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 S WALNUT HILL RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102008",
            "telephone_number": "708-921-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S KANSAS EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075969",
            "telephone_number": "417-429-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOUSE THERAPEUTIC BEHAVIORAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "SHOUSE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "708-921-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.