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HILLCREST COUNSELING ASSOCIATES
NPI 1164719373
Counselor - Mental Health in Cape Girardeau, MO

Active since July 08, 2011CLIA 26D1080201 · Waiver
340 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703(573) 332-0416(573) 335-2698 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hillcrest Counseling Associates NPPES

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

HILLCREST COUNSELING ASSOCIATES (NPI 1164719373) is a healthcare organization registered as a mental health in Cape Girardeau, Missouri and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Ryan Essex, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1164719373
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGIBSON CENTER FOR BEHAVIORAL CHANGE
Location Address340 S BROADVIEW STCape Girardeau, MO 63703-5703
Mailing Address340 S Broadview StCape Girardeau, MO 63703-5703 · (573) 332-0416 · Fax (573) 335-2698
Phone(573) 332-0416
Fax(573) 335-2698
Organization SubpartYesParent: Gibson Recovery Center, Inc.
Authorized OfficialRyan EssexChief Operating Officer · (573) 803-4145
Enumeration DateJuly 8, 2011
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1164719373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MO · 2009023490✔ Licensed in MO · 002005✔ Licensed in MO · 2001007821✔ Licensed in MO · 2004002713✔ Licensed in MO · 001113
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2002031993 (MO)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MO2005003649 (MO)
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 096892 (MO)
340 S BROADVIEW ST, Cape Girardeau, MO 63703
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Other Names 1

Doing Business AsHillcrest Counseling Associates

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.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 26D1080201

Gibson Center For Behavioral Change · Cape Girardeau, MO
Active · expires Feb 14, 2028
CLIA Number26D1080201
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorRyan Essex
Laboratory Phone(573) 332-0416
Laboratory LocationGibson Center For Behavioral Change1112 Linden Street, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MS. MARY ANN ROBERSTON M.A.
Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0613
MR. JOHN EUGENE NIMMO
Counselor (Mental Health)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
BRENDA GAUSE RN
Registered Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
JANICE L RUESLER LPC
Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
TINA FULLER LPN
Licensed Practical Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
GIBSON CENTER FOR BEHAVIORAL CHANGE
Clinic/Center (Rehabilitation, Substance Use Disorder)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
MS. JODY PETZOLDT M.A.
Counselor (Professional)
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416
MECHELLE ABERNATHY LPN
Licensed Practical Nurse
340 S BROADVIEW ST
CAPE GIRARDEAU, MO 63703
Cape Girardeau County (573) 332-0416

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 Gibson Center For Behavioral Change's NPI number?

The NPI number for Gibson Center For Behavioral Change is 1164719373. It was assigned to this organization in the NPPES registry on July 8, 2011. The provider is doing business as Hillcrest Counseling Associates.

Where is Gibson Center For Behavioral Change located?

Gibson Center For Behavioral Change is located at 340 S Broadview St, Cape Girardeau, MO 63703. The listed phone number is (573) 332-0416.

What is Gibson Center For Behavioral Change's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Gibson Center For Behavioral Change hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1080201) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gibson Center For Behavioral Change accept?

Health plans from Anthem Blue Cross and Blue Shield list Gibson Center For Behavioral Change 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 Gibson Center For Behavioral Change was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.