| Jonathon Stackhouse, | |
|
1525 N 7 Hwy Ste 201, Pleasant Hill, MO 64080-1980 | |
| (816) 308-0246 | |
| (816) 566-0486 |
| Full Name | Jonathon Stackhouse |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1525 N 7 Hwy Ste 201, Pleasant Hill, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710692819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2021002313 (Missouri) | Primary |
| Entity Name | Country Crossroads Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952705444 PECOS PAC ID: 1153850961 Enrollment ID: O20250123002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon Stackhouse, 441 Nw Hwy W, Kingsville, MO 64061 Ph: (816) 308-0246 | Jonathon Stackhouse, 1525 N 7 Hwy Ste 201, Pleasant Hill, MO 64080-1980 Ph: (816) 308-0246 |
Mrs. Suzanne Leemay Seitz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1525 N 7 Hwy, Pleasant Hill, MO 64080 Phone: 816-308-0246 Fax: 816-566-0486 | |
Stephanie Ann Moskopp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Terry Dr, Pleasant Hill, MO 64080 Phone: 702-321-5997 | |
Rachel Ann Dinges, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1525 N Highway 7 Ste 201, Pleasant Hill, MO 64080 Phone: 816-308-0246 Fax: 816-566-0486 | |
Mrs. Avery C Lough, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1525 N Highway 7 Ste 201, Pleasant Hill, MO 64080 Phone: 816-308-0246 |