Active NPI
Innovative Counseling Services, Inc
- Clinical Social Worker
- O Fallon, MO
National Provider Identifier
1083661334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2005040010
- Legal business name
- INNOVATIVE COUNSELING SERVICES, INC
- Practice address
- 1137 N Main St
O Fallon, MO 63366-1217 - Phone
- (314) 484-6198
- NPI assigned
- May 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Marie Eisenbeis, MSW LCSW
- Title
- President
- Phone
- (314) 484-6198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2005040010 | MO | Primary |
Addresses
Primary practice location
1137 N Main St
O Fallon, MO 63366-1217
Mailing address
621 Bull Valley Dr
Saint Peters, MO 63304-8544
Phone (314) 484-6198
Other names 1
- Cynthia M. Eisenbeis
National Provider Directory
National Provider DirectoryLocations
1137 N Main St
O Fallon, MO 63366
Phone (636) 294-2694
223 N Main St
Saint Charles, MO 63301
Phone (314) 954-0217
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Saint Charles, MO
- NPI 1205883550
-
- Clinical Social Worker
- Chattanooga, TN
- NPI 1316968712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083661334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 BULL VALLEY DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633048544",
"telephone_number": "314-484-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 N MAIN ST",
"city": "O FALLON",
"state": "MO",
"postal_code": "633661217",
"telephone_number": "314-484-6198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE COUNSELING SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EISENBEIS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-484-6198",
"authorized_official_credential": "MSW LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2005040010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cynthia M. Eisenbeis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.