Organization Active NPI

Innovative Counseling Services, Inc

  • Clinical Social Worker
  • O Fallon, MO
National Provider Identifier
1083661334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005040010 Issued in MO
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

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Marie Eisenbeis, MSW LCSWNPI 1205883550
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.