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MEDITELECARE OF MISSOURI LLC
NPI 1013416585
Psychologist - Clinical in Saint Louis, MO

Active since February 09, 2018
5661 TELEGRAPH RD STE 4B, SAINT LOUIS, MO 63129(860) 788-6404 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Jul 12, 2019 (3 updates tracked since 2019).

About Meditelecare Of Missouri Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDITELECARE OF MISSOURI LLC (NPI 1013416585) is a healthcare organization registered as a clinical in Saint Louis, Missouri and active in the NPI registry since February 2018. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1013416585
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMEDITELECARE OF MISSOURI LLC
Location Address5661 TELEGRAPH RD STE 4BSaint Louis, MO 63129-4275
Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495
Phone(860) 788-6404
Organization SubpartNo
Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441
Enumeration DateFebruary 9, 2018
Last NPPES UpdateMay 5, 20253 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1013416585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
5661 TELEGRAPH RD STE 4B, Saint Louis, MO 63129
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meditelecare Of Missouri Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Meditelecare Of Missouri LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner7
Clinical Social Worker2
Clinical Psychologist1
Psychiatry1

Clinicians, nearest first (11)

Rebecca Price, LCSW
Clinical Social Worker
NPI 1871224139
444 SETON HALL CT
Twin Oaks, MO 63088
(314) 229-0932
✔ PECOS✔ Accepts Medicare12 mi
Lenora Levin
Clinical Social Worker
NPI 1093227613
405 RUSHING DR
Herrin, IL 62948
(618) 993-3300
✔ PECOS✔ Accepts Medicare86 mi
Amy Thomas, FNP-C
Nurse Practitioner
NPI 1851912257
11605 E 23RD ST S
Independence, MO 64050
(816) 579-6891
✔ PECOS✔ Accepts Medicare227 mi
Tracey Litwin, PSYD
Clinical Psychologist
NPI 1649532714
7180 W. 107TH ST. SUITE 11
Overland Park, KS 66212
(913) 735-0454
✔ PECOS238 mi
Kimberly Souza, FNP
Nurse Practitioner
NPI 1902200645
400 E COURT AVE STE 110
Des Moines, IA 50309
(860) 788-6404
✔ PECOS✔ Accepts Medicare278 mi
Chioma Nwokoro, NP
Nurse Practitioner
NPI 1134724982
7877 WILLOW CHASE BLVD
Houston, TX 77070
(832) 869-4818
✔ PECOS✔ Accepts Medicare658 mi
Angela Cain, FNP
Nurse Practitioner
NPI 1720466246
MEDITELECARE OF VIRGINIA, LLC 4701 COX ROAD SUIT 285
Glenn Allen, VA 23060
(314) 625-1272
✔ PECOS✔ Accepts Medicare696 mi
Emily Drury, APN
Nurse Practitioner
NPI 1659889319
6980 WEEPING WILLOW DR
Colorado Springs, CO 80925
(573) 682-4970
✔ PECOS✔ Accepts Medicare776 mi
Cheryl France, M.D.
Psychiatry
NPI 1134144215
9995 SE FEDERAL HWY UNIT 397
Hobe Sound, FL 33475
(772) 324-9514
✔ PECOS✔ Accepts Medicare981 mi
Queendroline Nkeh
Nurse Practitioner
NPI 1730514381
265 FRANKLIN ST STE 1702
Boston, MA 02110
(240) 486-8941
✔ PECOS✔ Accepts Medicare1,048 mi
Ijeoma Uchegbu
Nurse Practitioner
NPI 1336648625
45 MEMORIAL CIR
Augusta, ME 04330
(860) 788-6404
✔ PECOS✔ Accepts Medicare1,137 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meditelecare Of Missouri LLC's NPI number?

The NPI number for Meditelecare Of Missouri LLC is 1013416585. It was assigned to this organization in the NPPES registry on February 9, 2018.

Where is Meditelecare Of Missouri LLC located?

Meditelecare Of Missouri LLC is located at 5661 Telegraph Rd Ste 4B, Saint Louis, MO 63129. The listed phone number is (860) 788-6404.

What is Meditelecare Of Missouri LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Meditelecare Of Missouri LLC enrolled in Medicare?

Yes. Meditelecare Of Missouri LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meditelecare Of Missouri LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Meditelecare Of Missouri LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (2) and Clinical Psychologist (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Meditelecare Of Missouri LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and WellSense Health Plan list Meditelecare Of Missouri LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meditelecare Of Missouri LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.