MISSOURI SCHOOLS FOR THE SEVERELY DISABLED
NPI 1366582827
Local Education Agency (LEA) in Jefferson City, MO

Q: What is Missouri Schools For The Severely Disabled's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Active since February 07, 2007CLIA 26D2313950 · Waiver

205 JEFFERSON ST, JEFFERSON CITY, MO 65101(573) 751-0408(573) 751-0276 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Missouri Schools For The Severely Disabled NPPES

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

MISSOURI SCHOOLS FOR THE SEVERELY DISABLED (NPI 1366582827) is a healthcare organization registered as a local education agency (lea) in Jefferson City, Missouri and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Archie Derboven, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1366582827

Entity TypeOrganization

Primary Taxonomy251300000X

Legal Business NameMISSOURI SCHOOLS FOR THE SEVERELY DISABLED

Location Address205 JEFFERSON STJefferson City, MO 65101-2901

Mailing Address205 Jefferson StJefferson City, MO 65101-2901 · (573) 751-0408 · Fax (573) 522-9242

Phone(573) 751-0408

Fax(573) 751-0276

Organization SubpartNo

Authorized OfficialArchie DerbovenSuperintendent · (573) 751-4427

Enumeration DateFebruary 7, 2007

Last NPPES UpdateSeptember 27, 2011

✔ NPI 1366582827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies

Taxonomy Code251300000X

Definition

The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

205 JEFFERSON ST, Jefferson City, MO 65101

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Other Identifiers 1

Medicaid504852302MO

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 26D2313950

Missouri Schools For Severely Disabled · Jefferson City, MO

Active · expires Nov 8, 2026

CLIA Number26D2313950

Laboratory TypeSchool/Student Health Service

Certificate Effective DateNovember 9, 2024

Certificate Expiration DateNovember 8, 2026

Laboratory DirectorAustin L. Sooter

Laboratory Phone(573) 522-6186

Laboratory LocationMissouri Schools For Severely Disabled205 Jefferson St, Jefferson City, MO 65101

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

LYNDSEY PATTERSON OTR/L

Occupational Therapist