NPIMap

Organization Active NPI

Southeast Missouri Community Treatment Center, Inc.

  • Professional Counselor
  • Washington, MO
National Provider Identifier
1992988992
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001751 Issued in MO
Legal business name
SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER, INC.
Practice address
202 W 3Rd St Apt a
Washington, MO 63090-2320
Phone
(573) 760-3874
Fax
(573) 431-5205
NPI assigned
Dec 12, 2007
Organization subpart
No

National Provider Directory

National Provider Directory
Tax ID family
Southeast Missouri Behavioral Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

202 W 3rd St
#A
Washington, MO 63090
Phone (573) 760-3874

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Barron Pratte, PHD
Title
Ceo/President
Phone
(573) 431-0554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 001751 MO Primary

Addresses

Primary practice location

202 W 3Rd St Apt a
Washington, MO 63090-2320

Mailing address

PO Box 506
512 E. Main St.
Park Hills, MO 63601-0506
Phone (573) 431-0554

Other identifiers 1

IdentifierTypeStateIssuer
001751OtherMOLPC LICENSE

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1992988992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "address_2": "512 E. MAIN ST.",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636010506",
            "telephone_number": "573-431-0554",
            "fax_number": "573-431-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 3RD ST APT A",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902320",
            "telephone_number": "573-760-3874",
            "fax_number": "573-431-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "PRATTE",
        "authorized_official_first_name": "BARRON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "573-431-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "001751",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.