Active NPI
Synergy Counseling Services
- Community/Behavioral Health Agency
- Saint Louis, MO
National Provider Identifier
1033476676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2008008117
- 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 MILLER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164736690 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI 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.