COUNSELING ASSOCIATES OF THE FOUR STATES, LLC
NPI 1023255106
Counselor - Mental Health in Joplin, MO
About Counseling Associates Of The Four States, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNSELING ASSOCIATES OF THE FOUR STATES, LLC (NPI 1023255106) is a healthcare organization registered as a mental health in Joplin, Missouri and active in the NPI registry since January 2009. The organization lists Jacob Russell Conklin, Owner, Lpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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)
Counseling Associates Of The Four States, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Counseling Associates Of The Four States, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
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 Counseling Associates Of The Four States, LLC's NPI number?
The NPI number for Counseling Associates Of The Four States, LLC is 1023255106. It was assigned to this organization in the NPPES registry on January 12, 2009.
Where is Counseling Associates Of The Four States, LLC located?
Counseling Associates Of The Four States, LLC is located at 705 W 26th St, Joplin, MO 64804. The listed phone number is (417) 627-9994.
What is Counseling Associates Of The Four States, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Counseling Associates Of The Four States, LLC enrolled in Medicare?
Yes. Counseling Associates Of The Four States, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Counseling Associates Of The Four States, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Counseling Associates Of The Four States, 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 Clinical Social Worker (6), Mental Health Counselor (5) and Nurse Practitioner (2). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Counseling Associates Of The Four States, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Counseling Associates Of The Four States, 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 Counseling Associates Of The Four States, LLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Counseling Associates Of The Four States, Llc · NPI 1023255106
Mental Health organization in Joplin, Missouri. Organization record, active in the CMS NPPES registry since January 12, 2009.
## Identity
- **NPI:** 1023255106 (Entity type: Organization)
- **Enumerated:** January 12, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jacob Conklin, OWNER, LPC
## Practice location
- **Address:** 705 W 26TH ST, Joplin, MO 64804-1904
- **Phone:** (417) 627-9994 · **Fax:** (417) 627-9995
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (6), Mental Health Counselor (5), Nurse Practitioner (2); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023255106) · Data from the CMS NPPES public registry.