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COMMUNITY COUNSELING SERVICES OF MISSOURI, L.L.C.
NPI 1417397209
Counselor - Professional in Licking, MO

Active since June 26, 2013
15423 MCCLOY ROAD, LICKING, MO 65542(417) 260-7707 Get Directions Write a Review

NPPES record last updated: June 26, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Community Counseling Services Of Missouri, L.l.c. NPPES

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

COMMUNITY COUNSELING SERVICES OF MISSOURI, L.L.C. (NPI 1417397209) is a healthcare organization registered as a professional in Licking, Missouri and active in the NPI registry since June 2013. The organization lists Arlene J O'brien, Owner, as its authorized official.

NPPES Registry Identity

NPI1417397209
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCOMMUNITY COUNSELING SERVICES OF MISSOURI, L.L.C.
Location Address15423 MCCLOY ROADLicking, MO 65542-0111
Mailing AddressPo Box 111, 15423 Mccloy RoadLicking, MO 65542-0111 · (417) 260-7707
Phone(417) 260-7707
Organization SubpartNo
Authorized OfficialArlene J O'brienOwner · (417) 260-7707
Enumeration DateJune 26, 2013
✔ NPI 1417397209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2010040294
Also ListedCounselorTaxonomy 101Y00000X · License 2010040294 (MO)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2010040294 (MO)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2010040294 (MO)
15423 MCCLOY ROAD, Licking, MO 65542
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Other Identifiers 1

Medicaid1154766806MO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Counseling Services Of Missouri, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Counseling Services Of Missouri, L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Arlene O'brien, LPC
Mental Health Counselor
NPI 1154766806
15423 MCCLOY ROAD
Licking, MO 65542
(417) 260-7707
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Services Of Missouri, L.L.C.'s NPI number?

The NPI number for Community Counseling Services Of Missouri, L.L.C. is 1417397209. It was assigned to this organization in the NPPES registry on June 26, 2013.

Where is Community Counseling Services Of Missouri, L.L.C. located?

Community Counseling Services Of Missouri, L.L.C. is located at 15423 Mccloy Road, Licking, MO 65542. The listed phone number is (417) 260-7707.

What is Community Counseling Services Of Missouri, L.L.C.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Community Counseling Services Of Missouri, L.L.C. enrolled in Medicare?

Yes. Community Counseling Services Of Missouri, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Counseling Services Of Missouri, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Community Counseling Services Of Missouri, L.L.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Community Counseling Services Of Missouri, L.L.C. was last updated on June 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.