Organization Active NPI

Victor's S Crown Christian Counseling Center LLC

  • Mental Health Counselor
  • Saint Robert, MO
National Provider Identifier
1003218819
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2011013510 Issued in MO
Legal business name
VICTOR'S S CROWN CHRISTIAN COUNSELING CENTER LLC
Practice address
571 VFW Memorial Dr
Saint Robert, MO 65584-4841
Phone
(573) 528-2192
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Colleen Murray, LPC
Title
Owner
Phone
(573) 528-2192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2011013510 MO Primary

Addresses

Primary practice location

571 VFW Memorial Dr
Saint Robert, MO 65584-4841

Mailing address

571 VFW Memorial Dr
Saint Robert, MO 65584-4841
Phone (573) 528-2192

National Provider Directory

National Provider Directory

Locations

571 Vfw Memorial Dr
Saint Robert, MO 65584
Phone (573) 528-2192

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1003218819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 VFW MEMORIAL DR",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844841",
            "telephone_number": "573-528-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 VFW MEMORIAL DR",
            "city": "SAINT ROBERT",
            "state": "MO",
            "postal_code": "655844841",
            "telephone_number": "573-528-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR'S S CROWN CHRISTIAN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-528-2192",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011013510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Robert, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.