NPIMap

Organization Active NPI

North Central Missouri Mental Health Center

  • Community/Behavioral Health Agency
  • Trenton, MO
National Provider Identifier
1730258930
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER
Practice address
1601 E 28TH St
Trenton, MO 64683-1178
Phone
(660) 359-4487
Fax
(660) 359-2958
NPI assigned
Nov 6, 2006
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Miss Loryne D. Irvine, MA, LCSWNPI 1538238605
Title
Executive Director
Phone
(660) 359-4487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 215-7709 MO
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1601 E 28TH St
Trenton, MO 64683-1178

Mailing address

PO Box 30
Trenton, MO 64683-0030
Phone (660) 359-4487

Other identifiers 2

IdentifierTypeStateIssuer
563012905MedicaidMO
21371013OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050204000544 MO Part B Supplier - Clinic/Group Practice 5092766204 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
Practice locations: Chillicothe, MO; Unionville, MO; Trenton, MO; Milan, MO; Gallatin, MO; Brookfield, MO; Bethany, 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
Tax ID family
North Central Missouri Mental Health Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

401 Youssef Dr
Chillicothe, MO 64601
Phone (660) 359-4487

220 E 3rd St
#B
Milan, MO 63556
Phone (660) 359-4487

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1730258930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646830030",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 28TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831178",
            "telephone_number": "660-359-4487",
            "fax_number": "660-359-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL MISSOURI MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "IRVINE",
        "authorized_official_first_name": "LORYNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-359-4487",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MA, LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "215-7709",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "563012905",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21371013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.