NPIMap

Organization Active NPI

Provident Inc

Doing business as Provident Behavioral Health

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1043491020
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROVIDENT INC
Doing business as
Provident Behavioral Health
Practice address
2650 Olive St
Saint Louis, MO 63103-1489
Phone
(314) 371-6500
Fax
(314) 371-6508
NPI assigned
Nov 19, 2007
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Kathy S Schlemmer
Title
Relations Coordinator
Phone
(314) 802-2647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2650 Olive St
Saint Louis, MO 63103-1489

Mailing address

2650 Olive St
Saint Louis, MO 63103-1424
Phone (314) 371-6500

Other practice location 1

2388 Schuetz Rd Ste A10
Saint Louis, MO 63146-3401
Phone (314) 898-0100

Other practice location 2

11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966
Phone (314) 898-0102

Other practice location 3

12755 Olive Blvd
Suite 150
Saint Louis, MO 63141-6242
Phone (314) 898-0100 ext. 1310

Other names 1

  • Provident Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Provident Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11166 Tesson Ferry Rd
Ste 300
Saint Louis, MO 63123
Phone (314) 802-2647

12755 Olive Blvd
Ste 150
Saint Louis, MO 63141
Phone 3148980100 ext. 1310

2388 Schuetz Rd
Ste A10
Saint Louis, MO 63146
Phone (314) 802-2647

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1043491020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031424",
            "telephone_number": "314-371-6500",
            "fax_number": "314-371-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031489",
            "telephone_number": "314-371-6500",
            "fax_number": "314-371-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2388 Schuetz Rd Ste A10",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631463401",
            "country_code": "US",
            "telephone_number": "314-898-0100",
            "fax_number": "314-993-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11166 Tesson Ferry Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631236966",
            "country_code": "US",
            "telephone_number": "314-898-0102",
            "fax_number": "314-842-2552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12755 Olive Blvd",
            "address_2": "SUITE 150",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416242",
            "country_code": "US",
            "telephone_number": "314-898-0100 x1310",
            "fax_number": "314-439-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHLEMMER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "RELATIONS COORDINATOR",
        "authorized_official_telephone_number": "314-802-2647"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provident Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 5, 2022; 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.