PROFESSIONAL THERAPY CENTER
NPI 1801951306
Psychologist in Jefferson City, MO

Active since December 26, 2006
1303 EDGEWOOD DR, JEFFERSON CITY, MO 65109(573) 634-5400(573) 636-2639 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Aug 9, 2023, Sep 13, 2019 and 2 more (5 updates tracked since 2017).

About Professional Therapy Center NPPES

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

PROFESSIONAL THERAPY CENTER (NPI 1801951306) is a healthcare organization registered as a psychologist in Jefferson City, Missouri and active in the NPI registry since December 2006. The organization maintains a secondary practice location in Jefferson City and lists Jeffrey Lee Patrick, President/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1801951306
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJCMG MENTAL HEALTH CLINIC LLC
Location Address1303 EDGEWOOD DRJefferson City, MO 65109-1943
Mailing AddressPo Box 104240Jefferson City, MO 65110-4240
Fax(573) 636-2639
Organization SubpartNo
Authorized OfficialJeffrey Lee PatrickPresident/authorized Official · (573) 635-5264
Enumeration DateDecember 26, 2006
Last NPPES UpdateAugust 30, 20235 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1801951306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1303 EDGEWOOD DR, Jefferson City, MO 65109

Other Names 1

Doing Business AsProfessional Therapy Center

Secondary Practice Location 1

Location 11241 W. Stadium Blvd.Jefferson City, MO 65109-6023 · Phone (573) 634-5400 · Fax (573) 635-9657

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

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)

Professional Therapy Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Professional Therapy Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1194436246
1303 EDGEWOOD DR
Jefferson City, MO 65109
(573) 634-5400
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1831182427
2613 FAIRWAY DR
Fulton, MO 65251
(573) 642-1990
✔ PECOS✔ Accepts Medicare22 mi
Clinical Social Worker
NPI 1801121652
4304 S BEARFIELD RD
Columbia, MO 65201
(573) 874-8686
✔ PECOS✔ Accepts Medicare24 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 Jcmg Mental Health Clinic LLC's NPI number?

The NPI number for Jcmg Mental Health Clinic LLC is 1801951306. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Professional Therapy Center.

Where is Jcmg Mental Health Clinic LLC located?

Jcmg Mental Health Clinic LLC is located at 1303 Edgewood Dr, Jefferson City, MO 65109. The listed phone number is (573) 634-5400.

What is Jcmg Mental Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jcmg Mental Health Clinic LLC enrolled in Medicare?

Yes. Jcmg Mental Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jcmg Mental Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Jcmg Mental Health Clinic 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jcmg Mental Health Clinic LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jcmg Mental Health Clinic 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 Jcmg Mental Health Clinic LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.