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NORTHEAST BEHAVIORAL HEALTH
NPI 1083897292
Clinic/Center - Federally Qualified Health Center (FQHC) in Kirksville, MO

Active since December 11, 2007
105 PFEIFFER AVE, KIRKSVILLE, MO 63501(660) 627-3621(660) 627-5798 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Behavioral Health NPPES

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

NORTHEAST BEHAVIORAL HEALTH (NPI 1083897292) is a healthcare organization registered as a federally qualified health center (fqhc) in Kirksville, Missouri and active in the NPI registry since December 2007. The organization lists Andrew H Grimm, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083897292
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST MISSOURI HEALTH COUNCIL, INC.
Location Address105 PFEIFFER AVEKirksville, MO 63501-5047
Mailing Address1416 Crown DrKirksville, MO 63501-2548 · (660) 627-5757 · Fax (660) 627-5802
Phone(660) 627-3621
Fax(660) 627-5798
Organization SubpartNo
Authorized OfficialAndrew H GrimmExecutive Director · (660) 627-5757
Enumeration DateDecember 11, 2007
Last NPPES UpdateJune 17, 2011
✔ NPI 1083897292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial WorkerTaxonomy 104100000X · License 2003016131 (MO)
105 PFEIFFER AVE, Kirksville, MO 63501
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Other Names 1

Doing Business AsNortheast Behavioral Health

Other Identifiers 5

Medicare PIN11740006MO
Medicaid503351884MO
Medicare PIN000015555MO
Medicare OSCAR/certification261019MO
Medicare PIN155550004MO

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TALEKA D VANSKIKE LMSW
Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4612
RACHAEL HOLTON MSW, LCSW
Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4612
ERIK V FOX PLPC
Counselor (Mental Health)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4612
MRS. DARLENE NICHOLE ROHN LCSW
Social Worker
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4612
MS. TRICIA KAY BROWN PH.D.
Counselor (Professional)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4612
MELINDA J FLICKINGER PLCSW
Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4635
CHRISTINE SNELLING LCSW
Social Worker (Clinical)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4612
KAITLEY ROSE TETER LPC
Counselor (Professional)
105 PFEIFFER AVE
KIRKSVILLE, MO 63501
Adair County (660) 665-4612

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 Northeast Missouri Health Council, Inc.'s NPI number?

The NPI number for Northeast Missouri Health Council, Inc. is 1083897292. It was assigned to this organization in the NPPES registry on December 11, 2007. The provider is doing business as Northeast Behavioral Health.

Where is Northeast Missouri Health Council, Inc. located?

Northeast Missouri Health Council, Inc. is located at 105 Pfeiffer Ave, Kirksville, MO 63501. The listed phone number is (660) 627-3621.

What is Northeast Missouri Health Council, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Northeast Missouri Health Council, Inc. was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.