Timothy Joseph Dalaviras, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001809 Issued in MO

Practice address

15235 Brightfield Manor Dr
Chesterfield, MO 63017-2488

Phone

(636) 537-5440

NPI assigned

Nov 13, 2008

Last updated

Nov 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Total Health and Productivity LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesterfield, MO
  • NPI 1699470435
  NPD Authorized official
• Total Health and Productivity LLC

  • Mental Health Counselor
  • Chesterfield, MO
  • NPI 1073107967
  NPD

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1013161330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 BRIGHTFIELD MANOR DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172488",
            "telephone_number": "636-537-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 BRIGHTFIELD MANOR DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172488",
            "telephone_number": "636-537-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAVIRAS",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Elizabeth Cusumano, NP
• Frances J Cutshall, PTA
• Timothy Joseph D'Agostino Sr., RPA
• MHD Daghostani, SURGICAL ASSISTANT
• John D Dahm, MD
• Dale M Stegeman MD Inc
• Justine E Daley
• Caroline E Dalluge, OTD
• Emily Dalton
• Michael William Daly, PHARM.D.

• Professional Counselor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.