| Family Counseling Center, Inc. | |
|
925 Hwy V V Kennett MO 63857-0071 | |
| (573) 888-5925 | |
| (573) 888-9365 |
| Full Name | Family Counseling Center, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 925 Hwy V V, Kennett, Missouri |
| Authorized Official Name and Position | Randy Ray (CEO) |
| Authorized Official Contact | 5738885925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Center, Inc. P.o. Box 71 Kennett MO 63857 Ph: (573) 888-5925 | Family Counseling Center, Inc. 925 Hwy V V Kennett MO 63857-0071 Ph: (573) 888-5925 |
| NPI Number | 1669477550 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Medicare PECOS PAC ID | 2163410481 |
|---|---|
| Medicare Enrollment ID | O20040609001127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669477550 | NPI | - | NPPES |
| 560841504 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patricia S Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588741169 PECOS PAC ID: 7911908835 Enrollment ID: I20070119000379 |
| Provider Name | Emily Jane Garrett-pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952503690 PECOS PAC ID: 1254426836 Enrollment ID: I20070927000679 |
| Provider Name | Craig E Tatom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225286347 PECOS PAC ID: 1153485784 Enrollment ID: I20090127000444 |
| Provider Name | Susan Brooks Hanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497935258 PECOS PAC ID: 4688724891 Enrollment ID: I20090610000127 |
| Provider Name | Carlos A. Salgueiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407914039 PECOS PAC ID: 7416082912 Enrollment ID: I20110110000488 |
| Provider Name | Ravdeep S Khanuja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750433256 PECOS PAC ID: 0648441410 Enrollment ID: I20110928000022 |
| Provider Name | Tasha L Wisdom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730450156 PECOS PAC ID: 6608193651 Enrollment ID: I20150331002659 |
| Provider Name | Sarfaraz Jasdanwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851646665 PECOS PAC ID: 8426364258 Enrollment ID: I20150825003318 |
| Provider Name | Corey C Crutchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205258944 PECOS PAC ID: 9739488099 Enrollment ID: I20160509001308 |
| Provider Name | Teresa L Brasher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013317155 PECOS PAC ID: 0042594269 Enrollment ID: I20170307000099 |
| Provider Name | Stacy A Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942508999 PECOS PAC ID: 4880870757 Enrollment ID: I20170420002292 |
| Provider Name | Brenda J Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023521978 PECOS PAC ID: 7517224843 Enrollment ID: I20171122000231 |
| Provider Name | Juanita J Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750709788 PECOS PAC ID: 6406190933 Enrollment ID: I20181210002484 |
| Provider Name | Andrea C Jasdanwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619405602 PECOS PAC ID: 9335484369 Enrollment ID: I20181220000184 |
| Provider Name | Maria L. Francisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578843124 PECOS PAC ID: 9436496080 Enrollment ID: I20190122000248 |
| Provider Name | Kimberly S Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932665742 PECOS PAC ID: 6002156825 Enrollment ID: I20190314000194 |
| Provider Name | Whitney J Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346736873 PECOS PAC ID: 7315296449 Enrollment ID: I20190625000653 |
| Provider Name | Alexandra Michelle Tomaszewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447798020 PECOS PAC ID: 0648506691 Enrollment ID: I20190729001620 |
| Provider Name | Erica Nicole Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598088817 PECOS PAC ID: 1052648482 Enrollment ID: I20190808000687 |
| Provider Name | Tara Jo Billings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841436409 PECOS PAC ID: 4688009848 Enrollment ID: I20200115002797 |
| Provider Name | Alex Camille Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588950919 PECOS PAC ID: 4284060906 Enrollment ID: I20200128002457 |
| Provider Name | Emily Brook De Alba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639599574 PECOS PAC ID: 5193156131 Enrollment ID: I20200507001935 |
| Provider Name | Kaley Dawn Berry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669776274 PECOS PAC ID: 7012320948 Enrollment ID: I20210113001695 |
| Provider Name | Carrie Renee Semlinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629550397 PECOS PAC ID: 6002229937 Enrollment ID: I20210113001814 |
| Provider Name | Dianna Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548710676 PECOS PAC ID: 3274947478 Enrollment ID: I20210129001417 |
| Provider Name | Natalie Blair Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104254176 PECOS PAC ID: 3274937669 Enrollment ID: I20210806001690 |
| Provider Name | John Robert Pruett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225661945 PECOS PAC ID: 3476958703 Enrollment ID: I20210824002449 |
| Provider Name | Nadia Lizbeth Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255995999 PECOS PAC ID: 5395128110 Enrollment ID: I20220811001607 |
| Provider Name | Rebekah D Clubb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164065017 PECOS PAC ID: 2466835863 Enrollment ID: I20220817003833 |
| Provider Name | Mark D Mehlig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750025508 PECOS PAC ID: 4486020104 Enrollment ID: I20221021000659 |
| Provider Name | Tracy J Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427431584 PECOS PAC ID: 9032584263 Enrollment ID: I20230331000945 |
| Provider Name | Ashley T Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073070702 PECOS PAC ID: 1355759721 Enrollment ID: I20230501000065 |
| Provider Name | Jodi Lynn Jo Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073017646 PECOS PAC ID: 6901261460 Enrollment ID: I20230505000902 |
| Provider Name | Julie A Heeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093101958 PECOS PAC ID: 3779862107 Enrollment ID: I20230530000306 |
| Provider Name | Jaclyn Stafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033718804 PECOS PAC ID: 5092179663 Enrollment ID: I20230914003303 |
| Provider Name | Sarah E Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467991612 PECOS PAC ID: 5799132080 Enrollment ID: I20231108000638 |
| Provider Name | Ruth Christine Foltz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952761207 PECOS PAC ID: 5092163501 Enrollment ID: I20231122000327 |
| Provider Name | Racheal Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194131466 PECOS PAC ID: 0345698502 Enrollment ID: I20231128002963 |
| Provider Name | Cynthia Ann Kiesling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982258182 PECOS PAC ID: 4082062286 Enrollment ID: I20231129000737 |
| Provider Name | April Alyce Van Winkle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275105116 PECOS PAC ID: 8325496532 Enrollment ID: I20231129000854 |
| Provider Name | Emma Quillin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356995823 PECOS PAC ID: 0840648077 Enrollment ID: I20231129001864 |
| Provider Name | Kelley Gaye Wilbanks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578666723 PECOS PAC ID: 0042668170 Enrollment ID: I20231129002207 |
| Provider Name | Bobbie Sue Wood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902564156 PECOS PAC ID: 2860840998 Enrollment ID: I20231129002211 |
| Provider Name | Rebecca Sue Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093367351 PECOS PAC ID: 4486002516 Enrollment ID: I20231129002308 |
| Provider Name | Linda Lee Potter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831398858 PECOS PAC ID: 2961850003 Enrollment ID: I20231129002696 |
| Provider Name | Mark L Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295260347 PECOS PAC ID: 8527417237 Enrollment ID: I20231206003316 |
| Provider Name | Natausha Nacole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912771056 PECOS PAC ID: 6901255579 Enrollment ID: I20231207002018 |
| Provider Name | Angela Michelle Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528457108 PECOS PAC ID: 2163871757 Enrollment ID: I20231207002498 |
| Provider Name | Shannon Doris Keasler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720501984 PECOS PAC ID: 0547619165 Enrollment ID: I20231207003815 |
| Provider Name | Wallace Goodman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427488055 PECOS PAC ID: 1456700913 Enrollment ID: I20231208001502 |
| Provider Name | Susan Elizabeth Valle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013402965 PECOS PAC ID: 4183073661 Enrollment ID: I20231208001967 |
| Provider Name | Lisa Joplin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588012108 PECOS PAC ID: 2062861552 Enrollment ID: I20231208002484 |
| Provider Name | David Lee Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659959468 PECOS PAC ID: 9537518030 Enrollment ID: I20231208002862 |
| Provider Name | Melissa Lynn Meloy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750563607 PECOS PAC ID: 5890144398 Enrollment ID: I20231208002915 |
| Provider Name | Monica Lynne Hughey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851861298 PECOS PAC ID: 1850740382 Enrollment ID: I20231209000551 |
| Provider Name | Angela Sutton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558806844 PECOS PAC ID: 9739538190 Enrollment ID: I20231211001078 |
| Provider Name | Alexis Purcell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285101238 PECOS PAC ID: 7113376583 Enrollment ID: I20231211001404 |
| Provider Name | Lavona Lynn Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891369302 PECOS PAC ID: 7810346046 Enrollment ID: I20231213000241 |
| Provider Name | Brittany Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104447614 PECOS PAC ID: 3173972353 Enrollment ID: I20231213001983 |
| Provider Name | Carolyn Polk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518325448 PECOS PAC ID: 4587013776 Enrollment ID: I20231213002243 |
| Provider Name | Stephanie Leeann Skelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275006306 PECOS PAC ID: 0749639938 Enrollment ID: I20231213002301 |
| Provider Name | Leah Jo Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235804121 PECOS PAC ID: 8527417724 Enrollment ID: I20231213002908 |
| Provider Name | Tammy Sharie Shepard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194981704 PECOS PAC ID: 4587013701 Enrollment ID: I20231213003663 |
| Provider Name | Jason B Ryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104128321 PECOS PAC ID: 2365891421 Enrollment ID: I20231214001175 |
| Provider Name | Aaron Paul Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962619130 PECOS PAC ID: 5890146609 Enrollment ID: I20240105002156 |
| Provider Name | Brook Ruble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598222333 PECOS PAC ID: 5698119071 Enrollment ID: I20240214001728 |
| Provider Name | Nancy C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144460437 PECOS PAC ID: 9638514136 Enrollment ID: I20240223002073 |
| Provider Name | Madison E Brawley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063970283 PECOS PAC ID: 1850737263 Enrollment ID: I20240307003269 |
| Provider Name | Jessica Lea Lamborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285057414 PECOS PAC ID: 1759728322 Enrollment ID: I20240319003218 |
| Provider Name | Jamie Atwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558714543 PECOS PAC ID: 7315385945 Enrollment ID: I20240402002346 |
| Provider Name | Melinda Gaye Becknell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841999786 PECOS PAC ID: 4183065899 Enrollment ID: I20240513002319 |
| Provider Name | Sara Beth Woodard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447944640 PECOS PAC ID: 3577904952 Enrollment ID: I20240516001145 |
| Provider Name | Mary Lynne Gibbons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740860568 PECOS PAC ID: 5799193066 Enrollment ID: I20240524003358 |
| Provider Name | Eric Anthony Nasir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679322036 PECOS PAC ID: 4486096849 Enrollment ID: I20240530002240 |
| Provider Name | Sarah Elizabeth Patrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518619287 PECOS PAC ID: 4486196540 Enrollment ID: I20240605001252 |
| Provider Name | Rhonda S Blackwell-althage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124003322 PECOS PAC ID: 2466994165 Enrollment ID: I20240610002736 |
Twin Rivers Regional Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 1st St, Kennett, MO 63857 Phone: 573-888-8421 Fax: 573-888-5525 | |
Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Highway V V, Kennett, MO 63857 Phone: 573-888-5925 Fax: 573-888-9365 | |
Family Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Highway V V, Kennett, MO 63857 Phone: 573-888-5925 Fax: 573-888-9365 | |
Empathia Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1231 1st St, Kennett, MO 63857 Phone: 573-818-4061 | |
The Counseling Center, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 North Byp, Kennett, MO 63857 Phone: 573-888-4447 Fax: 573-888-2999 | |
Reflections Counsulting Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 607 Teaco Road, Kennett, MO 63857 Phone: 573-888-9828 Fax: 844-270-0885 |