Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Community Counseling Services of Missouri, LLC

Organization Counselor · NPI 1417397209

Community Counseling Services of Missouri, LLC provides Counselor services in Licking, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15423 McCloy Rd
Licking, MO 65542-0111 Not confirmed with CMS for 13 years — call before visiting
Phone: (417) 260-7707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2010040294 (MO)
Counselor Taxonomy 101Y00000X · Licence 2010040294 (MO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 2010040294 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2010040294 (MO)

Record details

NPI number1417397209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arlene O'Brien — Owner · (417) 260-7707
NPI enumeratedJune 26, 2013
Last updated in NPPESJune 26, 2013
Mailing addressPo Box 111, 15423 McCloy Road, Licking, MO 65542-0111

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