Organization Active NPI

Avenues Counseling Center

Doing business as Avenues Counseling

  • Mental Health Counselor
  • Richmond Heights, MO
National Provider Identifier
1104226323
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2003031565 Issued in MO
Legal business name
AVENUES COUNSELING CENTER
Doing business as
Avenues Counseling
Practice address
1612 S Big Bend Blvd
Richmond Heights, MO 63117-2208
Phone
(314) 529-1391
NPI assigned
Aug 25, 2014
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Ms. Lianne Giordano Johnson, LPCNPI 1710308754
Title
Executive Director
Phone
(314) 443-4069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2003031565 MO Primary

Addresses

Primary practice location

1612 S Big Bend Blvd
Richmond Heights, MO 63117-2208

Mailing address

1612 S Big Bend Blvd
Richmond Heights, MO 63117-2208
Phone (314) 529-1391

Other names 1

  • Avenues Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Avenues Counseling Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1104226323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S BIG BEND BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631172208",
            "telephone_number": "314-529-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S BIG BEND BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631172208",
            "telephone_number": "314-529-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LIANNE",
        "authorized_official_middle_name": "GIORDANO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-443-4069",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2003031565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenues Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.