NPIMap

Organization Active NPI

Community Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Girardeau, MO
National Provider Identifier
1861154130
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMMUNITY COUNSELING CENTER
Practice address
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone
(573) 334-1100
Fax
(573) 651-4345
NPI assigned
Oct 13, 2021
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Mrs. Lisa TolbertNPI 1386201655
Title
Coo
Phone
(573) 334-1100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536

Mailing address

402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone (573) 334-1100

Other practice location 1

820 Park Dr
Ste Genevieve, MO 63670-1566
Phone (573) 883-7407

Other practice location 2

103 El Nathan Drive
Marble Hill, MO 63764-8342
Phone (573) 238-1027

Other practice location 3

406 N Spring St Ste 2
Perryville, MO 63775-1912
Phone (573) 547-8305

Other practice location 4

309 Garrett St
Fredericktown, MO 63645-1084
Phone (573) 783-4104

Other names 1

  • CCBHO Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2331183Community Counseling Center - Fredericktown309 Garrett Street, Fredericktown, MO 63645Certificate of waiverSep 25, 2027
26D2331188Community Counseling Center - Marble Hill103 El Nathan Drive, Marble Hill, MO 63764Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

820 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-7407

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1861154130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S SILVER SPRINGS RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037536",
            "telephone_number": "573-334-1100",
            "fax_number": "573-651-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S SILVER SPRINGS RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037536",
            "telephone_number": "573-334-1100",
            "fax_number": "573-651-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Ste Genevieve",
            "state": "MO",
            "postal_code": "636701566",
            "country_code": "US",
            "telephone_number": "573-883-7407",
            "fax_number": "573-883-7537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 El Nathan Drive",
            "address_purpose": "LOCATION",
            "city": "Marble Hill",
            "state": "MO",
            "postal_code": "637648342",
            "country_code": "US",
            "telephone_number": "573-238-1027",
            "fax_number": "573-238-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 N Spring St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Perryville",
            "state": "MO",
            "postal_code": "637751912",
            "country_code": "US",
            "telephone_number": "573-547-8305",
            "fax_number": "573-547-8306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Garrett St",
            "address_purpose": "LOCATION",
            "city": "Fredericktown",
            "state": "MO",
            "postal_code": "636451084",
            "country_code": "US",
            "telephone_number": "573-783-4104",
            "fax_number": "573-783-4572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "573-334-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCBHO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CCBHO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.