| Samaritan Counseling Center Inc. | |
|
902 Edmond St Ste 203 Saint Joseph MO 64501-2702 | |
| (816) 364-4300 | |
| (816) 279-8148 |
| Full Name | Samaritan Counseling Center Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 902 Edmond St, Saint Joseph, Missouri |
| Authorized Official Name and Position | Carolyn S Paden (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8163644300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Counseling Center Inc. 902 Edmond St Ste 203 Saint Joseph MO 64501-2702 Ph: (816) 364-4300 | Samaritan Counseling Center Inc. 902 Edmond St Ste 203 Saint Joseph MO 64501-2702 Ph: (816) 364-4300 |
| NPI Number | 1255331005 |
|---|---|
| Provider Enumeration Date | 07/22/2005 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Medicare PECOS PAC ID | 0547161440 |
|---|---|
| Medicare Enrollment ID | O20040114000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255331005 | NPI | - | NPPES |
| 500323209 | Medicaid | MO | |
| C980000 | Other | MEDICARE PTAN |
| Provider Name | James J Jura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588698948 PECOS PAC ID: 8224066022 Enrollment ID: I20050802001101 |
| Provider Name | Robert L Corder |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1770508327 PECOS PAC ID: 2466477278 Enrollment ID: I20051011000709 |
| Provider Name | Amy A Tally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518265941 PECOS PAC ID: 5698920700 Enrollment ID: I20130221000080 |
| Provider Name | Laura L Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639418262 PECOS PAC ID: 8921246760 Enrollment ID: I20130606000013 |
| Provider Name | Joyce A Estes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063616068 PECOS PAC ID: 8022435403 Enrollment ID: I20200831001671 |
| Provider Name | Cassandra D Veale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740996495 PECOS PAC ID: 1951775568 Enrollment ID: I20230322002008 |
| Provider Name | Christine Huyen Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750084430 PECOS PAC ID: 6305205113 Enrollment ID: I20240801004173 |
| Provider Name | Melissa J Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720872062 PECOS PAC ID: 2860910353 Enrollment ID: I20250519001454 |
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