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

Wade Sutter

Individual provider Professional Counselor · NPI 1063103869

Wade Sutter is a Mental Health Counselor in Hannibal, Missouri. Qualified in 2021, 5 years ago. Practices with Mark Twain Association for Mental Health Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2023
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Practice location Address checks out

1221 Broadway
Hannibal, MO 63401-4005
Phone: (573) 221-2111
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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 2023015724 (MO)

Record details

NPI number1063103869
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address115 W Lafayette St, Palmyra, MO 63461-1525

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mark Twain Association For Mental Health Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hannibal