Organization Active NPI

Brenda Lee Casey, LLC

  • Mental Health Counselor
  • Chesterfield, MO
National Provider Identifier
1033424585
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2002029846 Issued in MO
Legal business name
BRENDA LEE CASEY, LLC
Practice address
106 Four Seasons Shopping Ctr
Suite 103B
Chesterfield, MO 63017-3173
Phone
(636) 484-2733
Fax
(314) 392-9558
NPI assigned
Aug 9, 2010
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Ms. Brenda Lee Casey, LCSWNPI 1073586152
Title
Counselor
Phone
(636) 484-2733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2002029846 MO Primary

Addresses

Primary practice location

106 Four Seasons Shopping Ctr
Suite 103B
Chesterfield, MO 63017-3173

Mailing address

106 Four Seasons Shopping Ctr
Suite 103B
Chesterfield, MO 63017-3173
Phone (636) 484-2733

Other identifiers 1

IdentifierTypeStateIssuer
497394809MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1033424585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FOUR SEASONS SHOPPING CTR",
            "address_2": "SUITE 103B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173173",
            "telephone_number": "636-484-2733",
            "fax_number": "314-392-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FOUR SEASONS SHOPPING CTR",
            "address_2": "SUITE 103B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173173",
            "telephone_number": "636-484-2733",
            "fax_number": "314-392-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA LEE CASEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "636-484-2733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2002029846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497394809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.