Organization Active NPI

Educational & Psychological SVCS LLC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1104028950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2002023730 Issued in MO
Legal business name
EDUCATIONAL & PSYCHOLOGICAL SVCS LLC
Practice address
1201 Bellevue Ave
Saint Louis, MO 63117-1701
Phone
(314) 647-4488
Fax
(314) 647-6305
NPI assigned
Jun 4, 2007
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
Jay Russell Hyken, LPC
Title
President Primary Member
Phone
(314) 647-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2002023730 MO Primary

Addresses

Primary practice location

1201 Bellevue Ave
Saint Louis, MO 63117-1701

Mailing address

44 Gouvenor LN
Saint Louis, MO 63124-1309
Phone (314) 647-4488

Other names 1

  • EPS EDUCATIONAL & PSYCHOLOGICAL SVCS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104028950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GOUVENOR LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241309",
            "telephone_number": "314-647-4488",
            "fax_number": "314-647-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BELLEVUE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171701",
            "telephone_number": "314-647-4488",
            "fax_number": "314-647-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATIONAL & PSYCHOLOGICAL SVCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYKEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT    PRIMARY MEMBER",
        "authorized_official_telephone_number": "314-647-4488",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002023730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EPS EDUCATIONAL & PSYCHOLOGICAL SVCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.