CARMELLA FENSKE CRADC
NPI 1629512553
Counselor - Addiction (Substance Use Disorder) in Poplar Bluff, MO

Active since December 12, 2016
3001 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 686-1200 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Dec 12, 2016 (2 updates tracked since 2016).

About Carmella Fenske Cradc NPPES

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

CARMELLA FENSKE CRADC (NPI 1629512553) is an individual addiction (substance use disorder) provider in Poplar Bluff, Missouri, licensed in Missouri (9628) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1629512553
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCARMELLA FENSKECredential: CRADC
Location Address3001 WARRIOR LNPoplar Bluff, MO 63901-8685
Mailing Address686 Lester StPoplar Bluff, MO 63901-5025 · (573) 686-1200
Sole ProprietorYes
Enumeration DateDecember 12, 2016
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
NPI 1629512553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MO · 9628
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3001 WARRIOR LN, Poplar Bluff, MO 63901

Other Providers at the Same Location NPPES 20

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

Community Health Worker
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Behavior Technician
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Counselor (Professional)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Social Worker (Clinical)
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Counselor
3001 WARRIOR LN
POPLAR BLUFF, MO 63901
Case Manager/Care Coordinator
3001 WARRIOR LN
POPLAR BLUFF, MO 63901

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 Carmella Fenske's NPI number?

The NPI number for Carmella Fenske is 1629512553. It was assigned to this individual provider in the NPPES registry on December 12, 2016.

Where is Carmella Fenske located?

Carmella Fenske practices at 3001 Warrior Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 686-1200.

What is Carmella Fenske's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carmella Fenske was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.