NPIMap

Organization Active NPI

Revision Christian Counseling, LLC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1093084766
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010000687 Issued in MO
Legal business name
REVISION CHRISTIAN COUNSELING, LLC
Practice address
5001 Little Rock Rd
Saint Louis, MO 63128-3149
Phone
(314) 277-2548
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Alicia SeidlerNPI 1497116990
Title
Owner
Phone
(314) 277-2548

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2010000687 MO Primary

Addresses

Primary practice location

5001 Little Rock Rd
Saint Louis, MO 63128-3149

Mailing address

5001 Little Rock Road
Saint Louis, MO 63109
Phone (314) 277-2548

National Provider Directory

National Provider Directory

Locations

5001 Little Rock Rd
Saint Louis, MO 63128
Phone (314) 277-2548

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": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1093084766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 LITTLE ROCK ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63109",
            "telephone_number": "314-277-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 LITTLE ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283149",
            "telephone_number": "314-277-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISION CHRISTIAN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "SEIDLER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-277-2548"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010000687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 23, 2011; 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.