| Connected Counseling Services | |
|
1759 E Elm St Springfield MO 65802-3227 | |
| (417) 496-6444 | |
| (417) 501-1330 |
| Full Name | Connected Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1759 E Elm St, Springfield, Missouri |
| Authorized Official Name and Position | Kerri Favrow (OWNER/PROVIDER) |
| Authorized Official Contact | 4174966444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Counseling Services 1759 E Elm St Springfield MO 65802-3227 Ph: () - | Connected Counseling Services 1759 E Elm St Springfield MO 65802-3227 Ph: (417) 496-6444 |
| NPI Number | 1033766035 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 08/23/2019 |
| Medicare PECOS PAC ID | 2466806443 |
|---|---|
| Medicare Enrollment ID | O20230925001972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033766035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Melanie L Shands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871855684 PECOS PAC ID: 0042575599 Enrollment ID: I20180604001315 |
| Provider Name | Darrell T Steere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659353415 PECOS PAC ID: 4183088925 Enrollment ID: I20230913001545 |
| Provider Name | Alissa Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114483187 PECOS PAC ID: 0042663767 Enrollment ID: I20240130001317 |
| Provider Name | Ronald Brand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467950196 PECOS PAC ID: 7214380930 Enrollment ID: I20240130001346 |
| Provider Name | Barbraella Spilker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700452125 PECOS PAC ID: 9830532068 Enrollment ID: I20240205003109 |
| Provider Name | Victoria Haston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770182081 PECOS PAC ID: 9133562366 Enrollment ID: I20240205003319 |
| Provider Name | Ashley Ihrig-opitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295326254 PECOS PAC ID: 3072957273 Enrollment ID: I20240215002226 |
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