| Comtrea, Inc. | |
|
227 E Main St Festus MO 63028-1952 | |
| (636) 931-2700 | |
| (636) 931-2139 |
| Full Name | Comtrea, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 227 E Main St, Festus, Missouri |
| Authorized Official Name and Position | Teresa L Porter (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6608908156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comtrea, Inc. 227 E Main St Festus MO 63028-1952 Ph: (636) 931-2700 | Comtrea, Inc. 227 E Main St Festus MO 63028-1952 Ph: (636) 931-2700 |
| NPI Number | 1598781189 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/04/2023 |
| Certification Date | 07/04/2023 |
| Medicare PECOS PAC ID | 0749171585 |
|---|---|
| Medicare Enrollment ID | O20040325000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598781189 | NPI | - | NPPES |
| 562749507 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Missouri) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jesse D Helton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720058381 PECOS PAC ID: 8729997507 Enrollment ID: I20040507000223 |
| Provider Name | Linda R Winterberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295706513 PECOS PAC ID: 0840256483 Enrollment ID: I20041206000994 |
| Provider Name | Jhansirani Vasireddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063433670 PECOS PAC ID: 4688619943 Enrollment ID: I20050627001090 |
| Provider Name | Joule N Stevenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205932621 PECOS PAC ID: 9739119835 Enrollment ID: I20050818000342 |
| Provider Name | Marilyn T Muckerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982630992 PECOS PAC ID: 6204846066 Enrollment ID: I20060425000383 |
| Provider Name | C J Jos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154386746 PECOS PAC ID: 8729152988 Enrollment ID: I20080806000134 |
| Provider Name | Mohammed Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245213313 PECOS PAC ID: 9335119643 Enrollment ID: I20090105000279 |
| Provider Name | Leigh A Kokenis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104958057 PECOS PAC ID: 5890859821 Enrollment ID: I20090205000371 |
| Provider Name | Gautam Rohatgi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710065024 PECOS PAC ID: 3971667957 Enrollment ID: I20090206000034 |
| Provider Name | Mirela D Marcu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639194442 PECOS PAC ID: 1850282757 Enrollment ID: I20100304000865 |
| Provider Name | Lubbna Johar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578761706 PECOS PAC ID: 2365599461 Enrollment ID: I20100423000902 |
| Provider Name | David N Krojanker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114900867 PECOS PAC ID: 9830228915 Enrollment ID: I20100527000768 |
| Provider Name | Kevin M Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508867060 PECOS PAC ID: 5991839789 Enrollment ID: I20100816000616 |
| Provider Name | Rachel Morel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568664159 PECOS PAC ID: 7810174174 Enrollment ID: I20110614000422 |
| Provider Name | M Susan Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487880050 PECOS PAC ID: 5991971541 Enrollment ID: I20120103000071 |
| Provider Name | Amanda M Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326376682 PECOS PAC ID: 3072765155 Enrollment ID: I20121219000178 |
| Provider Name | Jeffrey G Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568722692 PECOS PAC ID: 1850543950 Enrollment ID: I20121219000309 |
| Provider Name | Melanie K Hampton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700878303 PECOS PAC ID: 2567607575 Enrollment ID: I20130322000121 |
| Provider Name | Erin Alcazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457698607 PECOS PAC ID: 8921243940 Enrollment ID: I20130322000236 |
| Provider Name | Ashleigh M Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457788192 PECOS PAC ID: 0143543496 Enrollment ID: I20141218000249 |
| Provider Name | Ashley M Trueman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023395688 PECOS PAC ID: 9436474277 Enrollment ID: I20150219000128 |
| Provider Name | Shana Eve Richter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962789529 PECOS PAC ID: 2062738008 Enrollment ID: I20150310000666 |
| Provider Name | Melinda Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710379227 PECOS PAC ID: 8820318819 Enrollment ID: I20150514001182 |
| Provider Name | Ashley Renee Whitley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093102899 PECOS PAC ID: 0648588160 Enrollment ID: I20151002001898 |
| Provider Name | Jill Ellsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790145910 PECOS PAC ID: 5991090417 Enrollment ID: I20160823002641 |
| Provider Name | Lisa Manzini-pace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659559243 PECOS PAC ID: 3577851385 Enrollment ID: I20161011002262 |
| Provider Name | David P Haasis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447404397 PECOS PAC ID: 8921396276 Enrollment ID: I20161019001728 |
| Provider Name | Sara E Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811234479 PECOS PAC ID: 2769761089 Enrollment ID: I20161109001400 |
| Provider Name | Ivy Alwell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477684009 PECOS PAC ID: 7911263793 Enrollment ID: I20171110001116 |
| Provider Name | Michelle R Daubendiek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154781821 PECOS PAC ID: 2668726746 Enrollment ID: I20181107002919 |
| Provider Name | Amanda Kay Barkema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508442807 PECOS PAC ID: 3274936505 Enrollment ID: I20210726000241 |
| Provider Name | Jessica Kassel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538835673 PECOS PAC ID: 6305239575 Enrollment ID: I20220210002274 |
| Provider Name | Eric J Carbonell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801805791 PECOS PAC ID: 1456340660 Enrollment ID: I20221209001334 |
| Provider Name | Heather Marie Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467177329 PECOS PAC ID: 0840669602 Enrollment ID: I20221217000121 |
| Provider Name | Jenna Beatman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780101030 PECOS PAC ID: 2264803592 Enrollment ID: I20230125001700 |
| Provider Name | Kelly Ann Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245889005 PECOS PAC ID: 6002241403 Enrollment ID: I20230217001384 |
| Provider Name | Lauren Bernstein Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417426933 PECOS PAC ID: 8022483809 Enrollment ID: I20230410000467 |
| Provider Name | Julia Maples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558845776 PECOS PAC ID: 8022483551 Enrollment ID: I20230413002641 |
Risse Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Main St, Suite 2100, Festus, MO 63028 Phone: 636-933-4870 | |
Advanced Psychiatric Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 807 Collins Dr, Festus, MO 63028 Phone: 636-931-4206 Fax: 636-931-5774 | |
Aba Center For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1375 Ymca Dr, Festus, MO 63028 Phone: 573-535-8315 Fax: 314-200-2167 | |
Neuromar Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Industrial Dr., Festus, MO 63028 Phone: 636-931-6090 Fax: 636-933-9509 | |
Moving Mountains Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N Truman Blvd, Ste 1, Festus, MO 63028 Phone: 636-933-4104 Fax: 636-933-4049 | |
Family Options Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1830 Scenic Dr # B, Festus, MO 63028 Phone: 636-937-6229 Fax: 636-717-0015 | |
Comtrea, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 E Main St, Festus, MO 63028 Phone: 636-931-2700 Fax: 636-931-2139 |