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TRI-COUNTY COMMUNITY CLINIC, LLC
NPI 1811527138
Nurse Practitioner - Psychiatric/Mental Health in Portageville, MO

Active since January 26, 2020
46 E STATE HIGHWAY 162, PORTAGEVILLE, MO 63873(573) 379-8031(573) 391-8050 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 9, 2022, Feb 17, 2020, Jan 26, 2020 (3 updates tracked since 2020).

About Tri-county Community Clinic, Llc NPPES

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

TRI-COUNTY COMMUNITY CLINIC, LLC (NPI 1811527138) is a healthcare organization registered as a psychiatric/mental health in Portageville, Missouri and active in the NPI registry since January 2020. The organization lists Ladonna Jean Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1811527138
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTRI-COUNTY COMMUNITY CLINIC, LLC
Location Address46 E STATE HIGHWAY 162Portageville, MO 63873-9177
Mailing Address46 E State Highway 162Portageville, MO 63873-9177 · (573) 391-8031 · Fax (573) 391-8050
Phone(573) 379-8031
Fax(573) 391-8050
Organization SubpartNo
Authorized OfficialLadonna Jean WilliamsOwner · (573) 521-8530
Enumeration DateJanuary 26, 2020
Last NPPES UpdateJune 9, 20223 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1811527138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
46 E STATE HIGHWAY 162, Portageville, MO 63873
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Other Identifiers 1

Medicaid1861826968MO

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

LADONNA JEAN WILLIAMS FNP
Nurse Practitioner (Psychiatric/Mental Health)
46 E STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
New Madrid County (573) 359-1372
REMEMBER FOREVER DAY TREATMENT, LLC
Clinic/Center (Adult Day Care)
46 E STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
New Madrid County (573) 391-8030
MISSOURI BOOTHEEL REGIONAL CONSORTIUM, INC.
Case Management
46 E STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-2020
TAMMI JO MARTINEZ FNP-BC, PMHNP-BC
Nurse Practitioner (Family)
46 E STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
New Madrid County (573) 391-8031
TRI-COUNTY COMMUNITY INDIVIDUALIZED SUPPORTED LIVING, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
46 E STATE HIGHWAY 162
PORTAGEVILLE, MO 63873
New Madrid County (573) 391-8031

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 Tri-County Community Clinic, LLC's NPI number?

The NPI number for Tri-County Community Clinic, LLC is 1811527138. It was assigned to this organization in the NPPES registry on January 26, 2020.

Where is Tri-County Community Clinic, LLC located?

Tri-County Community Clinic, LLC is located at 46 E State Highway 162, Portageville, MO 63873. The listed phone number is (573) 379-8031.

What is Tri-County Community Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Tri-County Community Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Tri-County Community 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 Tri-County Community Clinic, LLC was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.