Organization Active NPI

Midwest Trauma Recovery Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
National Provider Identifier
1033677257
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIDWEST TRAUMA RECOVERY CENTER, LLC
Practice address
2025 S Brentwood Blvd Ste 207
Saint Louis, MO 63144-1851
Phone
(314) 384-9748
NPI assigned
Mar 6, 2019
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Krystal Marie Schuette, LPCNPI 1184158032
Title
Therapist
Phone
(314) 384-9748

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2025 S Brentwood Blvd Ste 207
Saint Louis, MO 63144-1851

Mailing address

2025 S Brentwood Blvd Ste 207
Saint Louis, MO 63144-1851
Phone (314) 384-9748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190904000530 MO Part B Supplier - Clinic/Group Practice 6103155916 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

2025 S Brentwood Blvd
Ste 207
Saint Louis, MO 63144
Phone (314) 207-0505

Practitioners & affiliated clinicians

Practitioners 5

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": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1033677257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441851",
            "telephone_number": "314-384-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S BRENTWOOD BLVD STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441851",
            "telephone_number": "314-384-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST TRAUMA RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHUETTE",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "314-384-9748",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.