Provider Demographics
NPI:1003359977
Name:TRI-COUNTY MENTAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:TRI-COUNTY MENTAL HEALTH SERVICES, INC.
Other - Org Name:BEACON MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF QUALITY & COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOLM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-468-0400
Mailing Address - Street 1:3100 NE 83RD ST
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119-4400
Mailing Address - Country:US
Mailing Address - Phone:816-468-0400
Mailing Address - Fax:816-468-6635
Practice Address - Street 1:3100 NE 83RD ST
Practice Address - Street 2:SUITE 1001
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119-4400
Practice Address - Country:US
Practice Address - Phone:816-468-0400
Practice Address - Fax:816-468-6635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO876173907Medicaid