EAGLE CREST COUNSELING CENTER, INC.
NPI 1659421931
Clinic/Center - Mental Health (Including Community Mental Health Center) in Springfield, MO

Active since January 11, 2007
636 W REPUBLIC RD STE F100, SPRINGFIELD, MO 65807(417) 862-8282(417) 862-8805 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Eagle Crest Counseling Center, Inc. NPPES

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

EAGLE CREST COUNSELING CENTER, INC. (NPI 1659421931) is a healthcare organization registered as a mental health (including community mental health center) in Springfield, Missouri and active in the NPI registry since January 2007. The organization lists Jim W. Cherry, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659421931
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEAGLE CREST COUNSELING CENTER, INC.
Location Address636 W REPUBLIC RD STE F100Springfield, MO 65807-5810
Mailing Address636 W Republic Rd Ste G100Springfield, MO 65807-5811 · (417) 862-8282 · Fax (417) 862-8805
Fax(417) 862-8805
Organization SubpartNo
Authorized OfficialJim W. CherryOffice Manager · (417) 862-8282
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMarch 1, 2022
NPPES CertifiedFebruary 28, 2022
✔ NPI 1659421931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
636 W REPUBLIC RD STE F100, Springfield, MO 65807

Other Identifiers 1

Medicaid500792502MO

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)

Eagle Crest Counseling Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eagle Crest Counseling Center, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1063860195
636 W REPUBLIC RD
Springfield, MO 65807
(318) 366-0453
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1477603769
1111 S GLENSTONE AVE SUITE 201
Springfield, MO 65804
(417) 862-8282
✔ PECOS✔ Accepts Medicare4.4 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 Eagle Crest Counseling Center, Inc.'s NPI number?

The NPI number for Eagle Crest Counseling Center, Inc. is 1659421931. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Eagle Crest Counseling Center, Inc. located?

Eagle Crest Counseling Center, Inc. is located at 636 W Republic Rd Ste F100, Springfield, MO 65807. The listed phone number is (417) 862-8282.

What is Eagle Crest Counseling Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Eagle Crest Counseling Center, Inc. enrolled in Medicare?

Yes. Eagle Crest Counseling Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eagle Crest Counseling Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eagle Crest Counseling Center, Inc., in Clinical Psychologist and Mental Health Counselor. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eagle Crest Counseling Center, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Eagle Crest Counseling Center, Inc. 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 Eagle Crest Counseling Center, Inc. was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.