Clinical Consultants Group

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000898 Issued in MO

Legal business name

CLINICAL CONSULTANTS GROUP

Practice address

1750 S Brentwood Blvd
Suite 559
Saint Louis, MO 63144-1315

Phone

(314) 361-5347

Fax

(314) 918-8943

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark A. Cameron, PH.D., M.A., L.P.C.

Title

Owner

Phone

(314) 361-5347

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1043434376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S BRENTWOOD BLVD",
            "address_2": "SUITE 559",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441315",
            "telephone_number": "314-361-5347",
            "fax_number": "314-918-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S BRENTWOOD BLVD",
            "address_2": "SUITE 559",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441315",
            "telephone_number": "314-361-5347",
            "fax_number": "314-918-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONSULTANTS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-361-5347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.A., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "000898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856232707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emma Grace Janeway Clinkingbeard, MS, RD, LD

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.