| Counseling Associates Of The Four States, Llc | |
|
705 W 26th St Joplin MO 64804-1904 | |
| (417) 627-9994 | |
| (417) 627-9995 |
| Full Name | Counseling Associates Of The Four States, Llc |
|---|---|
| Speciality | Counselor |
| Location | 705 W 26th St, Joplin, Missouri |
| Authorized Official Name and Position | Jacob Russell Conklin (OWNER, LPC) |
| Authorized Official Contact | 4176279994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Of The Four States, Llc 705 W 26th St Joplin MO 64804-1904 Ph: (417) 627-9994 | Counseling Associates Of The Four States, Llc 705 W 26th St Joplin MO 64804-1904 Ph: (417) 627-9994 |
| NPI Number | 1023255106 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 11/11/2025 |
| Certification Date | 11/11/2025 |
| Medicare PECOS PAC ID | 7012160435 |
|---|---|
| Medicare Enrollment ID | O20130116000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023255106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | John R Spooner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750351409 PECOS PAC ID: 7719084151 Enrollment ID: I20070521000317 |
| Provider Name | Grant T Collings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346588787 PECOS PAC ID: 3476873506 Enrollment ID: I20150513001281 |
| Provider Name | Diana L Collings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144238221 PECOS PAC ID: 9638453087 Enrollment ID: I20170302000191 |
| Provider Name | Elizabeth C Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735497 PECOS PAC ID: 3678801685 Enrollment ID: I20190828001755 |
| Provider Name | Jacob Russell Conklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518320951 PECOS PAC ID: 5294258968 Enrollment ID: I20250403000381 |
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