State of Missouri
NPI 1801422621ActiveOrganization· Community/Behavioral Health· Jefferson City, MO
Community/Behavioral Health in Jefferson City, Missouri, registered in NPPES in March 2020, part of State of Missouri. The authorized official on file is Molly Jane Boeckmann, Director Of Administrative Services.
Overview
| NPI | 1801422621 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | State of Missouri |
| NPI issued | Mar 13, 2020 |
| Last updated in NPPES | Oct 15, 2020 |
| Certified by provider | Oct 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Behavioral Health Primary | 251S00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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