Southeast MO Mental Health Center – Psychiatric Hospital, NPI 1861447526

Southeast MO Mental Health Center is a healthcare provider. based in Jefferson city, Missouri. specializing in Psychiatric Hospital. The NPI Number for Southeast MO Mental Health Center is 1861447526

Main info

Organization
Name
Southeast MO Mental Health Center
NPI
1861447526
Phone
(573) 751-3398
Address
1706 E ELM ST
Authorized Official
MOLLY JANE BOECKMANN DIRECTOR OF ADMINISTRATIVE SERVICES
Enumeration Date
23 May 2006
Last Update Date
3 September 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Southeast MO Mental Health Center

  • East Elm Street, Jefferson City, Cole County, Missouri, 65101, United States

    JEFFERSON CITY, MO 651014130

    Phone: (573) 751-3398

    Fax: (573) 526-4560

    Type: Mailing

  • 1010, West Columbia Street, Farmington, St. Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636402902

    Phone: (573) 218-6792

    Fax: (573) 218-6703

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20071029000374OHospitalMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65101)

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Reviews

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Frequently asked questions

Does Southeast MO Mental Health Center have a public NPI I can cite?
Public records show Southeast MO Mental Health Center under NPI 1861447526.
Is Southeast MO Mental Health Center currently accepting referrals based on NPI status?
Registry metadata lists Southeast MO Mental Health Center as active.
Which specialty label fits Southeast MO Mental Health Center?
NPPES ties Southeast MO Mental Health Center to Psychiatric Hospital in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Southeast MO Mental Health Center tied to Jefferson City, Missouri?
If you are local to Jefferson City, Missouri, Southeast MO Mental Health Center may be relevant to your search.
Can I export Southeast MO Mental Health Center's record?
You can download the official NPPES record; we summarize key fields for readability.

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