CCBHO
NPI 1801422621
Community/Behavioral Health in Jefferson City, MO

Q: What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1801422621. It was assigned to this organization in the NPPES registry on March 13, 2020. The provider is doing business as Ccbho.

Q: What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 13, 2020

1706 E ELM ST, JEFFERSON CITY, MO 65101(573) 751-3398 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2020, Mar 13, 2020 (2 updates tracked since 2020).

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About Ccbho NPPES

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

CCBHO (NPI 1801422621) is a healthcare organization registered as a community/behavioral health in Jefferson City, Missouri and active in the NPI registry since March 2020. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1801422621

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSTATE OF MISSOURI

Location Address1706 E ELM STJefferson City, MO 65101-4130

Mailing AddressPo Box 687, 1706 E Elm StJefferson City, MO 65102-0687 · (573) 751-8157

Phone(573) 751-3398

Organization SubpartYes

Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055

Enumeration DateMarch 13, 2020

Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration

NPPES CertifiedOctober 15, 2020

✔ NPI 1801422621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1706 E ELM ST, Jefferson City, MO 65101

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Other Names 1

Doing Business AsCcbho

Other Providers at the Same Location NPPES 6

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

MISSOURI DEPARTMENT OF MENTAL HEALTH

Clinic/Center (Adult Mental Health)