Individual provider Active NPI

Yvonne Hertich, MSW

  • Mental Health Counselor
  • Brentwood, MO
National Provider Identifier
1003284142
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2018021289 Issued in MO
Practice address
8949 Manchester Rd
Brentwood, MO 63144-2621
Phone
(314) 329-4326
NPI assigned
Sep 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Mental Health Counselor 101YM0800X 2018021289 MO Primary

Addresses

Primary practice location

8949 Manchester Rd
Brentwood, MO 63144-2621

Mailing address

512 N Cherry St
O Fallon, IL 62269-1120
Phone (414) 530-8615

Other practice location 1

4236 Lindell Blvd
Suite #200
Saint Louis, MO 63108-2948
Phone (414) 530-8615

Other practice location 2

3250 Hampton Ave
Saint Louis, MO 63139-2379
Phone (314) 531-1155

Other names 1

  • Yvonne Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018021289MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Wellness LLC Mental Health CurrentSince Mar 12, 2023 Accepting new patients
Open Arms Mental Health Therapy LLC Mental Health CurrentSince Jan 14, 2024 Accepting new patients
St. Louis Center for Family Development, LLC Past Accepting new patients

Locations

8949 Manchester Rd
Saint Louis, MO 63144
Phone (314) 329-4326

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1003284142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N CHERRY ST",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691120",
            "telephone_number": "414-530-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 MANCHESTER RD",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631442621",
            "telephone_number": "314-329-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4236 Lindell Blvd",
            "address_2": "Suite #200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631082948",
            "country_code": "US",
            "telephone_number": "414-530-8615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3250 Hampton Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631392379",
            "country_code": "US",
            "telephone_number": "314-531-1155",
            "fax_number": "314-531-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTICH",
        "first_name": "YVONNE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018021289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "ROBINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.