| White Oak Counseling, Llc | |
|
1221 Broadway Hannibal MO 63401-4005 | |
| (573) 221-2111 | |
| (573) 221-2123 |
| Full Name | White Oak Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1221 Broadway, Hannibal, Missouri |
| Authorized Official Name and Position | Carrie Danner (OWNER) |
| Authorized Official Contact | 5732212111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Counseling, Llc 10299 Tanglewood Ln Hannibal MO 63401-7453 Ph: (573) 221-2111 | White Oak Counseling, Llc 1221 Broadway Hannibal MO 63401-4005 Ph: (573) 221-2111 |
| NPI Number | 1750586103 |
|---|---|
| Provider Enumeration Date | 06/17/2007 |
| Last Update Date | 06/30/2021 |
| Certification Date | 06/30/2021 |
| Medicare PECOS PAC ID | 3173613163 |
|---|---|
| Medicare Enrollment ID | O20071213000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750586103 | NPI | - | NPPES |
| 491318625 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2004013377 (Missouri) | Primary |
| Provider Name | Carrie Danner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215024781 PECOS PAC ID: 6204886625 Enrollment ID: I20050405000040 |
| Provider Name | Kathy L Pfaffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841522513 PECOS PAC ID: 6002094844 Enrollment ID: I20110628000039 |
| Provider Name | Kara Bates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740933100 PECOS PAC ID: 5395194237 Enrollment ID: I20240306001402 |
| Provider Name | Jamie Benton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477965853 PECOS PAC ID: 2860838786 Enrollment ID: I20240313002251 |
Clarity Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Communication Dr, Hannibal, MO 63401 Phone: 537-795-7342 Fax: 573-248-3080 | |
Healing Hearts Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 N 3rd St Ste 203, Hannibal, MO 63401 Phone: -- | |
Mark Twain Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
Preferred Family Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4355 Paris Gravel Rd, Hannibal, MO 63401 Phone: 573-248-3811 Fax: 573-248-3080 | |
Preferred Family Health Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 653 Clinic Rd, Hannibal, MO 63401 Phone: 573-603-1460 | |
Mark Twain Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Forrest Dr, Hannibal, MO 63401 Phone: 573-221-2120 Fax: 573-221-4380 | |
Hannibal Regional Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3145 Highway 61, Suite A, Hannibal, MO 63401 Phone: 573-629-3370 Fax: 573-406-5750 |