Organization
SAMARITAN COUNSELING CENTER INC.
Active
Other names
Samaritan Counseling Center, Inc, The Center, a Samaritan Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN S PADEN RN BSN MBA (EXECUTIVE DIRECTOR)
(816) 364-4300
Entity
Organization
Contact information
Practice address
902 EDMOND ST, STE 203, SAINT JOSEPH, MO 64501-2702
(816) 364-4300
(816) 279-8148
Mailing address
902 EDMOND ST, STE 203, SAINT JOSEPH, MO 64501-2702
(816) 364-4300
(816) 279-8148
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
011083
MO
101YP2500X
Professional Counselor
2001004281
MO
103T00000X
Psychologist
01907
MO
103T00000X
Psychologist
2003024040
MO
1041C0700X
Clinical Social Worker
Primary
000363
MO
1041C0700X
Clinical Social Worker
SW000353
MO
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
R3114
MO
2084P0804X
Child & Adolescent Psychiatry Physician
R9N47
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
076353
MO
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
089198
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500323209
—
MO
01
—
C980000
MEDICARE PTAN
—
Enumeration date
07/22/2005
Last updated
05/27/2022
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