Clearwater Counseling and Court Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1262-10795 Issued in MO

Legal business name

CLEARWATER COUNSELING AND COURT SERVICES INC.

Practice address

100 E Main St
Union, MO 63084-1618

Phone

(636) 583-6115

Fax

(636) 583-5364

NPI assigned

Feb 24, 2011

Last updated

Feb 24, 2011By 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

Jeffrey M Rundquist, CRADC

Title

Program Director

Phone

(636) 583-6115

Specialties & licenses 1

Addresses

Tax ID family

Clearwater Counseling and Court Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Missouri Alcohol Assessment Consultants, Inc.

  • Community/Behavioral Health Agency
  • Union, MO
  • NPI 1518134840
  NPD tax ID

Locations

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1740587948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841618",
            "telephone_number": "636-583-6115",
            "fax_number": "636-583-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER COUNSELING AND COURT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "RUNDQUIST",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "636-583-6115",
        "authorized_official_credential": "CRADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "1262-10795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Composite Rehab & Chiropractic

• Community/Behavioral Health Agency in Union, MO
• Providers in Union, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.