Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Missouri Health Council, Inc

Organization Professional Counselor · NPI 1104829498

Northeast Missouri Health Council, Inc is a Professional Counselor in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1416 Crown Dr
Kirksville, MO 63501-2548
Phone: (660) 627-5757
Fax: (660) 627-5802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (MO)
Professional Counselor Taxonomy 101YP2500X · Licence 2003032101 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 002241 (MO)
Dentist Taxonomy 122300000X · Licence 2001012903 (MO)
Dentist Taxonomy 122300000X · Licence 2006007559 (MO)
Dental Hygienist Taxonomy 124Q00000X · Licence 003847 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R5E64 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2001023603 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R5C53 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R9D62 (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2004027805 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2006022612 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2005037590 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 107529 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 096968 (MO)

Record details

NPI number1104829498
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Grimm — Executive Director · (660) 627-5757
Other names Northeast Family Health Clinics
NPI enumeratedMay 31, 2005
Last updated in NPPESJune 24, 2011
Mailing address1416 Crown Drive, Kirksville, MO 63501-2548

Other providers in Kirksville