Organization Active NPI

Redemption Counseling, LLC

  • Clinical Social Worker
  • Saint Charles, MO
National Provider Identifier
1063045995
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REDEMPTION COUNSELING, LLC
Practice address
3324 Rue Royale St
Saint Charles, MO 63301-8321
Phone
(314) 643-6172
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Joel Black, LCSWNPI 1144889650
Title
Owner
Phone
(314) 643-6172

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3324 Rue Royale St
Saint Charles, MO 63301-8321

Mailing address

3324 Rue Royale St
Saint Charles, MO 63301-8321
Phone (314) 643-6172

Other identifiers 1

IdentifierTypeStateIssuer
490074023MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://joel-black.clientsecure.me Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200331002495 MO Part B Supplier - Clinic/Group Practice 8729417498 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory

Locations

3324 Rue Royale St
#1164
Saint Charles, MO 63301
Phone (314) 643-6172

3324 Rue Royale St
Ste 1164
Saint Charles, MO 63301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1063045995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 RUE ROYALE ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018321",
            "telephone_number": "314-643-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 RUE ROYALE ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018321",
            "telephone_number": "314-643-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-643-6172",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490074023",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://joel-black.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Secure Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "1235 Cliffridge Ln",
            "city": "Valley Park",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630881174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.