- Mental Health Clinic in Charleston, MO

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is a mental health clinic (Clinic/center) in Charleston, Missouri. The current practice location for is 112 W Commercial St, Charleston, Missouri. For appointments, you can reach them via phone at (573) 683-4010. The mailing address for is Po Box 801143, Kansas City, Missouri and phone number is (573) 331-3000.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1346700028. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (573) 683-4010.

Contact Information

112 W Commercial St
Charleston
MO 63834-1601
(573) 683-4010
(573) 683-2167

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityClinic/center
Location112 W Commercial St, Charleston, Missouri
Authorized Official Name and PositionJustin Davison (CFO)
Authorized Official Contact5733313000
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 801143
Kansas City
MO 64180-1143

Ph: (573) 331-3000
112 W Commercial St
Charleston
MO 63834-1601

Ph: (573) 683-4010

NPI Details:

NPI Number1346700028
Provider Enumeration Date03/20/2019
Last Update Date05/20/2021
Certification Date05/20/2021

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346700028NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Reviews and Comments

Clinic/Center in Charleston, MO

Ican Consult & Counseling Center Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 505 N Main St, Charleston, MO 63834
Phone: 573-262-8515    

Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 112 W Commercial St, Charleston, MO 63834
Phone: 573-683-4010    Fax: 573-683-2167

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.