| Community Counseling Center | |
|
402 S Silver Springs Rd Cape Girardeau MO 63703-7536 | |
| (573) 334-1100 | |
| (573) 334-5531 |
| Full Name | Community Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 S Silver Springs Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Lisa Tolbert (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5733341100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Center 402 S Silver Springs Rd Cape Girardeau MO 63703-7536 Ph: (573) 334-1100 | Community Counseling Center 402 S Silver Springs Rd Cape Girardeau MO 63703-7536 Ph: (573) 334-1100 |
| NPI Number | 1235244757 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Medicare PECOS PAC ID | 9436142460 |
|---|---|
| Medicare Enrollment ID | O20040415000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235244757 | NPI | - | NPPES |
| 562624007 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 290-7523 (Missouri) | Primary |
| Provider Name | Daniela A Kantcheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124072350 PECOS PAC ID: 7416970249 Enrollment ID: I20060109000019 |
| Provider Name | Roderic Clayton Crist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033180120 PECOS PAC ID: 5991711715 Enrollment ID: I20060302000221 |
| Provider Name | Kishore A Khot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568573038 PECOS PAC ID: 8820132111 Enrollment ID: I20100224000923 |
| Provider Name | Linda E Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801904792 PECOS PAC ID: 6103013305 Enrollment ID: I20101214001095 |
| Provider Name | Bridget A Boley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013271758 PECOS PAC ID: 5395961270 Enrollment ID: I20140730000358 |
| Provider Name | Savannah A Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366704157 PECOS PAC ID: 7113236191 Enrollment ID: I20151013001602 |
| Provider Name | Deborah A Surface |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457640187 PECOS PAC ID: 1456689918 Enrollment ID: I20190821002523 |
| Provider Name | Sidharth Chandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295140143 PECOS PAC ID: 7315242807 Enrollment ID: I20191226001998 |
| Provider Name | Helen Morrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801435821 PECOS PAC ID: 8224463104 Enrollment ID: I20200123000371 |
| Provider Name | Amanda M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184269771 PECOS PAC ID: 9537587696 Enrollment ID: I20200922001937 |
| Provider Name | Monica L Nagele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093387854 PECOS PAC ID: 5193121374 Enrollment ID: I20210914001559 |
| Provider Name | Anand N Subramanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316467632 PECOS PAC ID: 2062782238 Enrollment ID: I20211221000769 |
| Provider Name | Christy K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235804246 PECOS PAC ID: 3375935075 Enrollment ID: I20220107002347 |
| Provider Name | Patricia Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023436110 PECOS PAC ID: 5597144246 Enrollment ID: I20220627001366 |
| Provider Name | Megan R Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407588643 PECOS PAC ID: 5890176465 Enrollment ID: I20220714001038 |
| Provider Name | Sarah J Cross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881211829 PECOS PAC ID: 7315328325 Enrollment ID: I20220722000691 |
| Provider Name | Sarah P Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851025696 PECOS PAC ID: 3173906823 Enrollment ID: I20220813000647 |
| Provider Name | Christian E Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679178602 PECOS PAC ID: 1951766773 Enrollment ID: I20230501002457 |
| Provider Name | Erin Kathleen Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356123749 PECOS PAC ID: 7517315088 Enrollment ID: I20231121002714 |
| Provider Name | Hannah Rachelle Tinnin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023623816 PECOS PAC ID: 6608224902 Enrollment ID: I20231128000388 |
| Provider Name | Jordan Buckthorpe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083253561 PECOS PAC ID: 2163870478 Enrollment ID: I20231128000781 |
| Provider Name | Matthew T Tompkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861908337 PECOS PAC ID: 3476901711 Enrollment ID: I20231128001871 |
| Provider Name | Richard Strait |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225300171 PECOS PAC ID: 8426406612 Enrollment ID: I20231129000398 |
| Provider Name | Paula M Johnston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760772347 PECOS PAC ID: 3375991573 Enrollment ID: I20231129000684 |
| Provider Name | Heather Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154895936 PECOS PAC ID: 4486002441 Enrollment ID: I20231130003610 |
| Provider Name | Andrew J Ebert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598121931 PECOS PAC ID: 0345698353 Enrollment ID: I20231201001510 |
| Provider Name | Samantha Tracy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407255854 PECOS PAC ID: 2860840873 Enrollment ID: I20231201001656 |
| Provider Name | Monica Anne Reagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225345911 PECOS PAC ID: 6800244815 Enrollment ID: I20231201001891 |
| Provider Name | Kyle J Schott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619001344 PECOS PAC ID: 6507214426 Enrollment ID: I20231201002534 |
| Provider Name | Dawn Shelley Wann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386115566 PECOS PAC ID: 3274981113 Enrollment ID: I20231202000285 |
| Provider Name | Jonathan Hudak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871895227 PECOS PAC ID: 8628426566 Enrollment ID: I20231202000316 |
| Provider Name | Michael H Hester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104149467 PECOS PAC ID: 8921456872 Enrollment ID: I20231202000594 |
| Provider Name | Warren Skinner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598182537 PECOS PAC ID: 7810345766 Enrollment ID: I20231202000680 |
| Provider Name | Misty Marie Abbott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275875023 PECOS PAC ID: 6800245622 Enrollment ID: I20231205003285 |
| Provider Name | Heather Renea Ressel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114701729 PECOS PAC ID: 7315396868 Enrollment ID: I20231211000309 |
| Provider Name | Tracie Manes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629542394 PECOS PAC ID: 4183073562 Enrollment ID: I20231211001606 |
| Provider Name | Ruth Ann Hester |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518150135 PECOS PAC ID: 8628427762 Enrollment ID: I20231214000334 |
| Provider Name | Tonesia K Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770191488 PECOS PAC ID: 2668821554 Enrollment ID: I20231218003704 |
| Provider Name | Jerri Denise Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265745673 PECOS PAC ID: 3375993819 Enrollment ID: I20231227000518 |
| Provider Name | Crystal Mclain |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972865111 PECOS PAC ID: 5890146815 Enrollment ID: I20240103004471 |
| Provider Name | Jeremy Brandon Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144801903 PECOS PAC ID: 3274984067 Enrollment ID: I20240105001236 |
| Provider Name | Stacy Renee Wengert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780347054 PECOS PAC ID: 8820440936 Enrollment ID: I20240113000253 |
| Provider Name | Kathy Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750158507 PECOS PAC ID: 0648617217 Enrollment ID: I20240319003285 |
Applied Psychological Center, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2907 Independence St, Suite F, Cape Girardeau, MO 63703 Phone: 573-334-3329 Fax: 573-200-7006 | |
Cape Girardeau Metro Treatment Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 760 S. Kings Highway, Suite F, Cape Girardeau, MO 63703 Phone: 573-335-4333 Fax: 573-335-4345 | |
Neurologic Associates Of Cape Girardeau, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1359 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-651-3188 Fax: 573-651-3048 | |
Saint Francis Clinic Cape Girardeau Kingshighway Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 N Kingshighway St, Cape Girardeau, MO 63701 Phone: 573-339-2000 Fax: 573-339-1876 | |
Dale & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2846 Professional Ct, Cape Girardeau, MO 63703 Phone: 573-803-3137 Fax: 573-803-3137 | |
Associated Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 N Kingshighway St, Imperial Building, Cape Girardeau, MO 63701 Phone: 573-335-7929 Fax: 573-335-6445 | |
Community Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 |