Juan Carlos Salazar, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

2000174358 Issued in MO

Practice address

1140 Herschel Bess Blvd
Poplar Bluff, MO 63901-3075

Phone

(573) 686-1200

Fax

(573) 686-1029

NPI assigned

Jun 14, 2006

Last updated

Apr 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compass Counseling Services, LLCGroup PAC ID 1456518612, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.41 of 100Reported as apm

Quality

79.26

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compass Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1891089421
  Medicare reassignment Care Compare group NPD
• Bootheel Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sikeston, MO
  • NPI 1386789139
  Medicare reassignment NPD
• Poplar Bluff Hma Physician Management, LLC

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1598710147

  Psychiatry

  Medicare reassignment NPD
• Bootheel Counseling Services

  • Rural Health Clinic/Center
  • Sikeston, MO
  • NPI 1497064547
  NPD
• Bootheel Counseling Services

  • Community/Behavioral Health Agency
  • Sikeston, MO
  • NPI 1700652898
  NPD (past)
• Compass Counseling Services,LLC

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1790157626
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1922041995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 LAKE SHORE DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639019648",
            "telephone_number": "573-686-2127",
            "fax_number": "573-778-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HERSCHEL BESS BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013075",
            "telephone_number": "573-686-1200",
            "fax_number": "573-686-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2000174358",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "2000174358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Francis Medical Center (Saint Francis Clinic Poplar Bluff)
• Saint Francis Medical Center
• Saint Francis Medical Center (Kneibert Clinic)
• Saint Francis Medical Center (Saint Francis Clinic Poplar Bluff Northwest Medical)
• Faith Elisabeth Salamone
• Kiptoo Kipyator Sammin
• Dalton Sanders, DNP, MBA, CRNA, APRN
• Sharon Sanders
• Zoe Marie Sanders
• Donna Sandlin, RN

• Child & Adolescent Psychiatry Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Child & Adolescent Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.