NPIMap

Organization Active NPI

Open Arms Wellness LLC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1033710751
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPEN ARMS WELLNESS LLC
Practice address
Baur Executive Suites
10880 Baur Blvd.
Saint Louis, MO 63132
Phone
(314) 329-4326
NPI assigned
Nov 9, 2020
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Mrs. Jessica H Rosenberg, LPCNPI 1063987642
Title
Owner
Phone
(314) 329-4326

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 Primary

Addresses

Primary practice location

Baur Executive Suites
10880 Baur Blvd.
Saint Louis, MO 63132

Mailing address

Jessica Rosenberg
817 Berry Hill Dr.
Saint Louis, MO 63132
Phone (314) 920-0569

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316000320 MO Part B Supplier - Clinic/Group Practice 5799170486 Receives reassigned benefits from 16 practitioners
Practice locations: Saint Louis, MO; Brentwood, MO; Ballwin, MO

National Provider Directory

National Provider Directory

Locations

13975 Manchester Rd
Ste 3
Ballwin, MO 63011
Phone (314) 329-4326

10880 Baur Blvd
Saint Louis, MO 63132
Phone (314) 329-4326

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1033710751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JESSICA ROSENBERG",
            "address_2": "817 BERRY HILL DR.",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-920-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAUR EXECUTIVE SUITES",
            "address_2": "10880 BAUR BLVD.",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63132",
            "telephone_number": "314-329-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-329-4326",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Feb 11, 2022; 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.