Seasons Counseling Center LLC
Social Worker, Clinical in Park Hills, MO. Organization (NPI-2).
NPI number1104783158
StatusActive
Last updated in NPPESMay 7, 2026
Details
- NPI
- 1104783158
- Entity type
- Organization (NPI-2)
- Legal business name
- Seasons Counseling Center LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2026
- Certification date
- May 7, 2026
- Last updated
- May 7, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 104100000X | Social Worker | – | – |
Practice location
103 Strauss DrPark Hills, MO 63601-2400
Phone 573-701-1675
Mailing address
1590 Cedar Valley DrBonne Terre, MO 63628-4021
Phone 573-701-1675
Authorized official
Lee A Roberts
Ceo
5737011675
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Park Hills, MO
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All 8 Clinical Social Worker providers in Park Hills · All 121 providers in Park Hills
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