Organization Active NPI

Synergy Counseling Services

  • Community/Behavioral Health Agency
  • Saint Louis, MO
National Provider Identifier
1033476676
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2008008117 Issued in MO
Legal business name
SYNERGY COUNSELING SERVICES
Practice address
9167 W Florissant Ave
Saint Louis, MO 63136-1420
Phone
(314) 382-9318
Fax
(314) 260-1922
NPI assigned
Apr 20, 2012
Organization subpart
Yes
Parent organization
MARVIN STEVEN MILLERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Mr. Marvin Steven Miller, LPC
Title
Owner
Phone
(314) 382-9318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2008008117 MO Primary

Addresses

Primary practice location

9167 W Florissant Ave
Saint Louis, MO 63136-1420

Mailing address

9167 W Florissant Ave
Saint Louis, MO 63136-1420
Phone (314) 382-9318

Other identifiers 1

IdentifierTypeStateIssuer
1164736690MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1033476676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9167 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361420",
            "telephone_number": "314-382-9318",
            "fax_number": "314-260-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9167 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361420",
            "telephone_number": "314-382-9318",
            "fax_number": "314-260-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY COUNSELING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARVIN STEVEN MILLER",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-382-9318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2008008117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164736690",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.