Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUCCESS HEALTH SYSTEM, LLC
NPI 1508310293
Psychiatry & Neurology - Psychiatry in Columbia, MO

Active since August 10, 2016
3700 I 70 DR SE STE 110, COLUMBIA, MO 65201(888) 410-5230 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, May 5, 2025, Jul 31, 2024 and 1 more (4 updates tracked since 2016).

About Success Health System, Llc NPPES

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

SUCCESS HEALTH SYSTEM, LLC (NPI 1508310293) is a healthcare organization registered as a psychiatry in Columbia, Missouri and active in the NPI registry since August 2016. The organization maintains 7 additional practice locations and lists Moses Tabe Ambilichu, Md, as its authorized official.

NPPES Registry Identity

NPI1508310293
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSUCCESS HEALTH SYSTEM, LLC
Location Address3700 I 70 DR SE STE 110Columbia, MO 65201-6587
Mailing AddressPo Box 716Columbia, MO 65205-0716 · (972) 974-0109 · Fax (573) 271-5108
Organization SubpartNo
Authorized OfficialMoses Tabe AmbilichuMd · (972) 974-0109
Enumeration DateAugust 10, 2016
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1508310293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3700 I 70 DR SE STE 110, Columbia, MO 65201

Secondary Practice Locations 7

Location 14429 S River Blvd Ste DIndependence, MO 64055-4659 · Phone (888) 410-5230
Location 23400 Chapel Hill RdDouglasville, GA 30135-1739 · Phone (888) 410-5230
Location 33600 Interstate 70 Dr SE Ste CColumbia, MO 65201-6583 · Phone (888) 410-5230 · Fax (573) 271-5108
Location 42010 S Buckner BlvdDallas, TX 75217-1804 · Phone (888) 410-5230
Location 52805 E 19th StVancouver, WA 98661-4614 · Phone (888) 410-5230
Location 611695 S Blackbob RdOlathe, KS 66062-1058 · Phone (888) 410-5230
Location 712401 Olive Blvd Ste 206Creve Coeur, MO 63141-5448 · Phone (888) 410-5230

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Success Health System, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Success Health System, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner14
Clinical Social Worker5
Psychiatry1

Clinicians, nearest first (20)

Psychiatry
NPI 1073774238
3700 I 70 DR SE STE 110
Columbia, MO 65201
(888) 410-5230
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629963665
1201 INTERNATIONAL DR
Columbia, MO 65202
(573) 615-7188
✔ PECOS✔ Accepts Medicare4.6 mi
Clinical Social Worker
NPI 1245037977
3600 I 70 DR SE STE C
Columbia, MO 65201
(888) 410-5230
✔ PECOS5.8 mi
Nurse Practitioner
NPI 1558135947
2605 CRAFTSMAN DR
Sedalia, MO 65301
(660) 998-1191
✔ PECOS✔ Accepts Medicare51 mi
Nurse Practitioner
NPI 1326746736
1176 TOWN AND COUNTRY COMMONS DR
Chesterfield, MO 63017
(314) 251-2870
✔ PECOS104 mi
Nurse Practitioner
NPI 1083462451
12401 OLIVE BLVD STE 206
Creve Coeur, MO 63141
(888) 410-5230
✔ PECOS✔ Accepts Medicare106 mi
Clinical Social Worker
NPI 1477721306
409 SE DOUGLAS ST
Lees Summit, MO 64063
(816) 814-2634
✔ PECOS✔ Accepts Medicare107 mi
Nurse Practitioner
NPI 1689440083
4429 S RIVER BLVD STE D
Independence, MO 64055
(888) 410-5230
✔ PECOS✔ Accepts Medicare110 mi
Nurse Practitioner
NPI 1184322695
4429 S RIVER BLVD STE D
Independence, MO 64055
(888) 410-5230
✔ PECOS✔ Accepts Medicare110 mi
Nurse Practitioner
NPI 1427006337
225 S MERAMEC AVE STE 409
Clayton, MO 63105
(314) 556-0009
✔ PECOS113 mi
Clinical Social Worker
NPI 1851874564
300 W 19TH TER
Kansas City, MO 64108
(816) 404-5709
✔ PECOS119 mi
Nurse Practitioner
NPI 1689290017
5741 N BEAMAN AVE
Kansas City, MO 64151
(816) 456-2557
✔ PECOS✔ Accepts Medicare122 mi
Clinical Social Worker
NPI 1972905511
1537 S 5TH ST E
Louisburg, KS 66053
(913) 548-6322
✔ PECOS125 mi
Nurse Practitioner
NPI 1245575547
6440 NIEMAN RD
Shawnee, KS 66203
(913) 826-4200
✔ PECOS✔ Accepts Medicare125 mi
Nurse Practitioner
NPI 1629654298
520 FULLERTON RD STE B
Swansea, IL 62226
(618) 277-0006
✔ PECOS✔ Accepts Medicare133 mi
Nurse Practitioner
NPI 1033619077
1211 PORTER WAGONER BLVD
West Plains, MO 65775
(417) 349-2334
✔ PECOS✔ Accepts Medicare156 mi
Nurse Practitioner
NPI 1952993354
699 WALNUT ST STE 400
Des Moines, IA 50309
(515) 441-7944
✔ PECOS✔ Accepts Medicare192 mi
Nurse Practitioner
NPI 1134841117
2675 S ABILENE ST STE 100
Aurora, CO 80014
(720) 507-4779
✔ PECOS✔ Accepts Medicare668 mi
Clinical Social Worker
NPI 1609501998
621 HEMPSTEAD DR
El Paso, TX 79912
(850) 686-5375
✔ PECOS937 mi
Nurse Practitioner
NPI 1619464484
220 5TH AVE FL 11
New York, NY 10001
(205) 582-7636
✔ PECOS984 mi

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 Success Health System, LLC's NPI number?

The NPI number for Success Health System, LLC is 1508310293. It was assigned to this organization in the NPPES registry on August 10, 2016.

Where is Success Health System, LLC located?

Success Health System, LLC is located at 3700 I 70 Dr SE Ste 110, Columbia, MO 65201. The listed phone number is (888) 410-5230.

What is Success Health System, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Success Health System, LLC enrolled in Medicare?

Yes. Success Health System, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Success Health System, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Success Health System, LLC. 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. The largest specialties are Nurse Practitioner (14), Clinical Social Worker (5) and Psychiatry (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Success Health System, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Success Health System, LLC 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 Success Health System, LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.