Lake Area Citizens' Advisory Board, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LAKE AREA CITIZENS' ADVISORY BOARD, INC.

Doing business as

Lake Area Counseling & Behavioral Health

Practice address

409R W US Highway 54
Camdenton, MO 65020-6948

Phone

(573) 317-9061

Fax

(573) 317-1970

NPI assigned

Jul 3, 2008

Last updated

May 7, 2025By 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

Mr. Bradley BergNPI 1457188054

Title

Board President

Phone

(573) 317-9061

Specialties & licenses 1

Addresses

Other names 1

• Lake Area Counseling & Behavioral Health Doing business as

Locations

Practitioners 5

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.

• Bradley C Berg, PHD

  • Professional Counselor
  • Macks Creek, MO
  • NPI 1457188054
  NPD (past) Authorized official
• Rhonda Hooker, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Osage Beach, MO
  • NPI 1790084689
  NPD
• Gena Pugh

  • Addiction (Substance Use Disorder) Counselor
  • Camdenton, MO
  • NPI 1144941774
  NPD
• Ida Mae Suttmoller, MA LCSW CASAC

  • Clinical Social Worker
  • Versailles, MO
  • NPI 1912133323
  NPD
• Adrienne Jill Mellroy

  • Counselor
  • Camdenton, MO
  • NPI 1942666961
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1902069552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409R W US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206948",
            "telephone_number": "573-317-9061",
            "fax_number": "573-317-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409R W US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206948",
            "telephone_number": "573-317-9061",
            "fax_number": "573-317-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655364636",
            "country_code": "US",
            "telephone_number": "417-533-5332",
            "fax_number": "417-533-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE AREA CITIZENS' ADVISORY BOARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "573-317-9061",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Area Counseling & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taren Kirk
• Michael Kirkover, M.D.
• Brett D Koons, O.D.
• Anton Kosov, M.D.
• Terry S Krantz, RN FNP
• Lake Area Industries, Inc.
• Lake Dental Clinic LLC
• Lake of the Ozarks Developmental Center
• Lake of the Ozarks Laser Pain Center LLC (Back To Life Laser Pain Center)
• Lake Professional Hearing Aid Center

• Community/Behavioral Health Agency in Camdenton, MO
• Providers in Camdenton, 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 May 7, 2025; 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.