OrganizationActive
Community Counseling Center
NPI 1154465763 · Adolescent and Children Mental Health Clinic/Center · Cape Girardeau, MO
Provider details
- NPI number
- 1154465763
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Tolbert, Chief Operating Officer(573) 334-1100
- License
- 2907523 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Phone: (573) 334-1100
Street-level locationGet directions
Mailing address
402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.