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

NPI Status: Active since February 16, 2007

Contact Information

402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-1100

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health
  • CLIA Number: 26D2331185
  • CLIA Cert. Type: Other - CCBHC
  • CLIA Exp. Date: 09-25-2027

About COMMUNITY COUNSELING CENTER

This page provides the complete NPI Profile along with additional information for Community Counseling Center, a provider established in Cape Girardeau, Missouri operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1154465763 assigned on February 2007. The practitioner's primary taxonomy code is 261QM0855X with license number 2907523 (MO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Lisa Tolbert (Chief Operating Officer)

NPI
1154465763
Provider Name
COMMUNITY COUNSELING CENTER
Entity Type
Organization
Location Address
402 S SILVER SPRINGS RD CAPE GIRARDEAU, MO 63703
Location Phone
(573) 334-1100
Mailing Address
402 S SILVER SPRINGS RD CAPE GIRARDEAU, MO 63703
Mailing Phone
(573) 334-1100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2007
Last Update Date
09-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
License No.
2907523
License State
MO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA TOLBERT

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(573) 334-1100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
152624011MEDICAID (05)MO 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2331185
Facility Type
Other - CCBHC
Certificate Effective Date
September 26, 2025
Certificate Expiration Date
September 25, 2027
Laboratory Director
SIDHARTH CHANDRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Counseling Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COMMUNITY COUNSELING CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154465763, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 8 + 6 + 1 + 0 + 7 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1154465763.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Nurse Practitioner (Adult Health)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Mental Health)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Social Worker (Clinical)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Professional)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Psychiatry & Neurology (Psychiatry)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703
Counselor (Mental Health)
402 S SILVER SPRINGS RD
CAPE GIRARDEAU, MO 63703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154465763, enumerated as an "organization" on February 16, 2007.

The provider is located at 402 S SILVER SPRINGS RD CAPE GIRARDEAU, MO 63703 and the phone number is (573) 334-1100.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.