1. Home
  2. Directory
  3. Missouri
  4. Cape Girardeau
  5. Clinic Center
  6. NPI Profile

COMMUNITY COUNSELING CENTER
NPI 1154465763
Clinic/Center - Adolescent and Children Mental Health in Cape Girardeau, MO

Active since February 16, 2007CLIA Certified · 4 labs
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703(573) 334-1100 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Sep 28, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Community Counseling Center NPPES

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

COMMUNITY COUNSELING CENTER (NPI 1154465763) is a healthcare organization registered as an adolescent and children mental health in Cape Girardeau, Missouri and active in the NPI registry since February 2007. The organization holds 4 active CLIA laboratory certificates and lists Lisa Tolbert, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1154465763
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCOMMUNITY COUNSELING CENTER
Location Address402 S SILVER SPRINGS RDCape Girardeau, MO 63703-7536
Mailing Address402 S Silver Springs RdCape Girardeau, MO 63703-7536 · (573) 334-1100
Phone(573) 334-1100
Organization SubpartNo
Authorized OfficialLisa TolbertChief Operating Officer · (573) 334-1100
Enumeration DateFebruary 16, 2007
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1154465763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in MO · 2907523
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
402 S SILVER SPRINGS RD, Cape Girardeau, MO 63703
Open in Google Maps ↗

Other Identifiers 1

Medicaid152624011MO

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2331185

Community Counseling Center - Cape Girardeau · Cape Girardeau, MO
Active · expires Sep 25, 2027
CLIA Number26D2331185
Laboratory TypeCcbhc
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorSidharth Chandra
Laboratory Phone(573) 334-1100
Laboratory LocationCommunity Counseling Center - Cape Girardeau402 S Silver Springs Road, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2332699

Community Counseling Center - North Campus · Cape Girardeau, MO
Active · expires Oct 22, 2027
CLIA Number26D2332699
Laboratory TypeInpatient Diversion
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorChandra Sidharth
Laboratory Phone(573) 290-5888
Laboratory LocationCommunity Counseling Center - North Campus2852 Independence, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2331186

Community Counseling Center - Jah Treatment Facility · Cape Girardeau, MO
Active · expires Sep 25, 2027
CLIA Number26D2331186
Laboratory TypeIrts
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorSidharth Chandra
Laboratory Phone(573) 540-4774
Laboratory LocationCommunity Counseling Center - Jah Treatment Facility1987 Rusmar, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2331190

Community Counseling Center - Ridgeway · Cape Girardeau, MO
Active · expires Sep 25, 2027
CLIA Number26D2331190
Laboratory TypeIrts
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorSidharth Chandra
Laboratory Phone(573) 332-0662
Laboratory LocationCommunity Counseling Center - Ridgeway6 S Hanover, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

RACHEL CATHERINE ALCANTARA LMSW
Social Worker
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-1100
JAMIE FILISAH RHYNE LPC
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-1100
CONNIE SCHUESSLER LCSW
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-1100
MISS BRIDGET ANN BOLEY LCSW
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-1100
MRS. PATRICIA DIANNE HODGES LCSW
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-1100
MR. DANIEL ARTHUR BENARD LCSW
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-1100
DR. SHARON ANN BRAUN PH.D, LPC, NCC, CCFC
Counselor (Mental Health)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-2774
MICHAEL D. BERG MS, PLPC
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 334-1100

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 Community Counseling Center's NPI number?

The NPI number for Community Counseling Center is 1154465763. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Community Counseling Center located?

Community Counseling Center is located at 402 S Silver Springs Rd, Cape Girardeau, MO 63703. The listed phone number is (573) 334-1100.

What is Community Counseling Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Community Counseling Center hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Community Counseling Center was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.