MR. JERRY SCOTT EAMES MAC CASAC ICAADC NPI 1033304019

NPI Information

  • NPI: 1033304019
  • Provider Name: MR. JERRY SCOTT EAMES, MAC CASAC ICAADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 501 N AULT ST
    MOBERLY, MO
    ZIP 65270
  • Phone: (660) 263-7552

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NPI Details

MR. Jerry Scott Eames, MAC CASAC ICAADC is an addiction (substance use disorder) counselor in Moberly, MO. MR. Jerry Scott Eames, MAC CASAC ICAADC NPI is 1033304019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N AULT ST
MOBERLY, MO
ZIP 65270-506
Phone: (660) 263-7552
Fax: (660) 263-6593

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)32304VIRGINIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)542MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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