| Bootheel Counseling Services | |
|
760 Plantation Blvd Sikeston MO 63801-5736 | |
| (573) 471-0800 | |
| (573) 471-0810 |
| Full Name | Bootheel Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 760 Plantation Blvd, Sikeston, Missouri |
| Authorized Official Name and Position | David Terrell (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 5734710800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bootheel Counseling Services 760 Plantation Blvd P.o. Box 1043 Sikeston MO 63801-5736 Ph: (573) 471-0800 | Bootheel Counseling Services 760 Plantation Blvd Sikeston MO 63801-5736 Ph: (573) 471-0800 |
| NPI Number | 1386789139 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/03/2023 |
| Certification Date | 02/03/2023 |
| Medicare PECOS PAC ID | 5496725145 |
|---|---|
| Medicare Enrollment ID | O20040802000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386789139 | NPI | - | NPPES |
| 562823906 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2748045 (Missouri) | Primary |
| Provider Name | Juan Carlos Salazar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922041995 PECOS PAC ID: 5395800932 Enrollment ID: I20090216000454 |
| Provider Name | Murtaza Hayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669426383 PECOS PAC ID: 5496759771 Enrollment ID: I20100206000106 |
| Provider Name | Lori J Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215268404 PECOS PAC ID: 4284806092 Enrollment ID: I20111020000037 |
| Provider Name | Pavan N Palepu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851591614 PECOS PAC ID: 9436296068 Enrollment ID: I20121112000353 |
| Provider Name | Michelle E Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942559976 PECOS PAC ID: 5698099844 Enrollment ID: I20150119000763 |
| Provider Name | Sherri D Bathen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235494972 PECOS PAC ID: 7416274378 Enrollment ID: I20150402001841 |
| Provider Name | Christi L Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780026377 PECOS PAC ID: 5496985277 Enrollment ID: I20150924001359 |
| Provider Name | Twan Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568979722 PECOS PAC ID: 2062774243 Enrollment ID: I20180328001634 |
| Provider Name | Amy Herbst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639739626 PECOS PAC ID: 3870828783 Enrollment ID: I20190715003504 |
| Provider Name | Kasie M Delay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730696014 PECOS PAC ID: 1456780238 Enrollment ID: I20200330001804 |
| Provider Name | Tonya M Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285093732 PECOS PAC ID: 6901213032 Enrollment ID: I20210407001814 |
| Provider Name | Shelby P Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659941219 PECOS PAC ID: 5597163378 Enrollment ID: I20211008000350 |
| Provider Name | Hope Lynn Boyle-jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104562479 PECOS PAC ID: 5395125025 Enrollment ID: I20220712000814 |
| Provider Name | Shelby Hailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316601859 PECOS PAC ID: 9436507027 Enrollment ID: I20231120002467 |
| Provider Name | Micaela Kassinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932235272 PECOS PAC ID: 8921457615 Enrollment ID: I20231206002554 |
| Provider Name | Olivia Rose Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588189377 PECOS PAC ID: 3870942477 Enrollment ID: I20231207003048 |
| Provider Name | Haley Renae Horton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740896422 PECOS PAC ID: 1456700442 Enrollment ID: I20231215003062 |
| Provider Name | Larones V Nelson-bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952037301 PECOS PAC ID: 6709235799 Enrollment ID: I20231215003198 |
| Provider Name | Lindsay Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154447795 PECOS PAC ID: 8325497217 Enrollment ID: I20231218003553 |
| Provider Name | Christopher Hummel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568933505 PECOS PAC ID: 4880044692 Enrollment ID: I20231220000564 |
| Provider Name | Karen Crane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194146068 PECOS PAC ID: 7719337583 Enrollment ID: I20231220002929 |
| Provider Name | Mark John Madigan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437666880 PECOS PAC ID: 3072964840 Enrollment ID: I20240105000517 |
| Provider Name | Michael Ziegler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073066650 PECOS PAC ID: 6103277975 Enrollment ID: I20240105000768 |
Accredited Traffic Offender Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 E Malone Ave, Sikeston, MO 63801 Phone: 573-471-7710 Fax: 573-471-4918 | |
Saint Francis Clinic Sikeston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461 | |
Renewed Strength Counseling , Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 S Interstate Dr, Sikeston, MO 63801 Phone: 573-576-1896 Fax: 888-340-7785 | |
Allen Home Care Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 S Kingshighway St, Sikeston, MO 63801 Phone: 573-472-2644 Fax: 573-472-3501 | |
Missouri Delta Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 | |
Ferguson Medical Group Rural Health Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-472-2966 |