| Ssm Regional Health Services | |
|
2701 West Edgewood Suite 101 Jefferson City MO 65109 | |
| (573) 634-5303 | |
| (573) 761-6888 |
| Full Name | Ssm Regional Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2701 West Edgewood, Jefferson City, Missouri |
| Authorized Official Name and Position | Shasta Rene Manuel (REGIONAL VICE PRESIDENT FINANCE/CFO) |
| Authorized Official Contact | 4052727282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Regional Health Services Po Box 1027 Jefferson City MO 65102-1027 Ph: (573) 681-3767 | Ssm Regional Health Services 2701 West Edgewood Suite 101 Jefferson City MO 65109 Ph: (573) 634-5303 |
| NPI Number | 1053368159 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Medicare PECOS PAC ID | 8921917352 |
|---|---|
| Medicare Enrollment ID | O20050627000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053368159 | NPI | - | NPPES |
| 502680002 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Laurel A Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538105986 PECOS PAC ID: 2062485766 Enrollment ID: I20040819000228 |
| Provider Name | Bhaskar Y Gowda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750367967 PECOS PAC ID: 7416910849 Enrollment ID: I20041108000226 |
| Provider Name | Malik I Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770557985 PECOS PAC ID: 5294752648 Enrollment ID: I20051026000073 |
| Provider Name | Nicole Borrenpohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235473380 PECOS PAC ID: 0446404743 Enrollment ID: I20160106002832 |
| Provider Name | Swarnalatha Yerrapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366720385 PECOS PAC ID: 9335424977 Enrollment ID: I20170323000202 |
| Provider Name | Veronica L Amey Perrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578708186 PECOS PAC ID: 0143478123 Enrollment ID: I20170811002892 |
| Provider Name | Jeanne Nizigiye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598833253 PECOS PAC ID: 1658268768 Enrollment ID: I20170824003659 |
| Provider Name | Thomas R Milam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669457677 PECOS PAC ID: 5294727889 Enrollment ID: I20180926002502 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20190617001710 |
| Provider Name | Chen-wen C Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20190617002326 |
| Provider Name | Marie Didario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740591304 PECOS PAC ID: 3678700291 Enrollment ID: I20190830001827 |
| Provider Name | Maheen S Rehman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194106484 PECOS PAC ID: 3072862549 Enrollment ID: I20200731000348 |
| Provider Name | Maura R Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20210714002698 |
| Provider Name | Karisa T Harpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629304050 PECOS PAC ID: 2567501463 Enrollment ID: I20211209001680 |
| Provider Name | Joshua W Foster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700447190 PECOS PAC ID: 4284969973 Enrollment ID: I20211210000752 |
| Provider Name | Joel Saeger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306405717 PECOS PAC ID: 3971837816 Enrollment ID: I20211213000412 |
| Provider Name | Brian J Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461813 PECOS PAC ID: 3072644228 Enrollment ID: I20220224000112 |
| Provider Name | Julie A Tenbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164417606 PECOS PAC ID: 6709876279 Enrollment ID: I20220322001106 |
| Provider Name | Carol Lydia Wiediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033285242 PECOS PAC ID: 2567546773 Enrollment ID: I20220322001114 |
| Provider Name | Nicholas D Crall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316262645 PECOS PAC ID: 3274761333 Enrollment ID: I20220511001011 |
| Provider Name | Kofoworola Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942658075 PECOS PAC ID: 4981000262 Enrollment ID: I20220513001596 |
| Provider Name | Sabo Uba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508106873 PECOS PAC ID: 4385889849 Enrollment ID: I20220603002295 |
| Provider Name | Pedro A Bauza-feliciano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104135128 PECOS PAC ID: 7810114840 Enrollment ID: I20220914001092 |
| Provider Name | Sophie Claire Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20221027001954 |
| Provider Name | Katlin E Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487168662 PECOS PAC ID: 2466713474 Enrollment ID: I20221220001093 |
| Provider Name | Janette Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992090708 PECOS PAC ID: 4981844305 Enrollment ID: I20230128000105 |
| Provider Name | Solange Marcel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679602536 PECOS PAC ID: 9335200153 Enrollment ID: I20230316000548 |
| Provider Name | Sherifat I Forcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043861438 PECOS PAC ID: 8022442235 Enrollment ID: I20230509001865 |
| Provider Name | Denise J White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477624294 PECOS PAC ID: 4880921667 Enrollment ID: I20230510001850 |
| Provider Name | Dorothy Kozakowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909196 PECOS PAC ID: 7113160847 Enrollment ID: I20230602001333 |
| Provider Name | Kodjovi D Kodjo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780100958 PECOS PAC ID: 7517203177 Enrollment ID: I20230615000284 |
| Provider Name | Donald Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790197523 PECOS PAC ID: 4880811264 Enrollment ID: I20230804000500 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230807000610 |
| Provider Name | Steven Scott Shipman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578024881 PECOS PAC ID: 2062749237 Enrollment ID: I20230830000538 |
| Provider Name | Doris Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275570863 PECOS PAC ID: 3375993934 Enrollment ID: I20231221003007 |
| Provider Name | James Marion Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891048799 PECOS PAC ID: 8527418193 Enrollment ID: I20231221003158 |
| Provider Name | Tiffany George |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457888901 PECOS PAC ID: 6901257880 Enrollment ID: I20240104002181 |
| Provider Name | Beth A Berhorst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962624395 PECOS PAC ID: 7416308614 Enrollment ID: I20240112000447 |
| Provider Name | Chrystala Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942778485 PECOS PAC ID: 2961854633 Enrollment ID: I20240118000544 |
| Provider Name | Rodney James Deaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003934274 PECOS PAC ID: 8921240425 Enrollment ID: I20240208002626 |
| Provider Name | Richard Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316208382 PECOS PAC ID: 0547552580 Enrollment ID: I20240603000824 |
| Provider Name | Robert Paul Snyder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003270851 PECOS PAC ID: 7012452915 Enrollment ID: I20240716001936 |
| Provider Name | Virginia Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164528816 PECOS PAC ID: 0840350062 Enrollment ID: I20240910003023 |
| Provider Name | Durga Poudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184454373 PECOS PAC ID: 5991236770 Enrollment ID: I20241003002670 |
| Provider Name | Maximo Lockward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114026721 PECOS PAC ID: 2365341385 Enrollment ID: I20250201000043 |
| Provider Name | Lauren Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861847113 PECOS PAC ID: 9335438670 Enrollment ID: I20250414002462 |
| Provider Name | Olivia Gibson-delaney |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881128924 PECOS PAC ID: 2961748827 Enrollment ID: I20250416002403 |
| Provider Name | Camillia Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215474341 PECOS PAC ID: 9931484193 Enrollment ID: I20250417003471 |
| Provider Name | Nadia Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467944561 PECOS PAC ID: 9133510829 Enrollment ID: I20250421002042 |
| Provider Name | Mikkia Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114691623 PECOS PAC ID: 2567853898 Enrollment ID: I20250421002154 |
| Provider Name | Aminata Wane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023602307 PECOS PAC ID: 7012325137 Enrollment ID: I20250422000705 |
| Provider Name | Rashaun Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609269596 PECOS PAC ID: 3072935154 Enrollment ID: I20250509000481 |
| Provider Name | Mohamed Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464243 PECOS PAC ID: 2961708029 Enrollment ID: I20250515002637 |
Capital Region Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5666 Fax: 573-632-5859 | |
Allcare Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 Edgewood Dr, Suite 3a, Jefferson City, MO 65109 Phone: 573-636-0025 Fax: 573-636-0025 | |
Lighthouse Of Hope & Healing, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1026 Northeast Dr Ste B, Jefferson City, MO 65109 Phone: 573-690-7919 Fax: 573-636-7771 | |
Still Point Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4100 Country Club Dr, Jefferson City, MO 65109 Phone: 573-733-6529 | |
Sunrise Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808a Southwest Blvd, Jefferson City, MO 65109 Phone: 573-619-9387 | |
Marissa R Abbott Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Wildwood Dr, Suite 104, Jefferson City, MO 65109 Phone: 573-635-9654 Fax: 573-635-4466 |