Mental Wellness, LLC
NPI 1639254600ActiveOrganization· Psychologist, Clinical· Osage Beach, MO
Psychologist, Clinical in Osage Beach, Missouri, registered in NPPES in October 2006. The authorized official on file is Jennifer Boyer Stevens, PSY.D., Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639254600 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2004013642 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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