Coping With Choices Therapy Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COPING WITH CHOICES THERAPY GROUP LLC

Practice address

1151 Boulder Creek Drive
Apt 104
O Fallon, IL 62269-0079

Phone

(618) 825-8173

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Yvonne Suzette Gates

Title

President

Phone

(618) 825-8173

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valda Haywood, LCSW

  • Clinical Social Worker
  • East Saint Louis, IL
  • NPI 1043962046
  Medicare reassignment NPD
• Angela M Bryant, LCSW

  • Social Worker
  • Saint Louis, MO
  • NPI 1942504105

  Clinical

  Medicare reassignment NPD
• Tyree Edward Miller, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1720297989
  Medicare reassignment NPD
• Joyce L Poole, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1801323126
  Medicare reassignment NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1104419365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 GREEN MOUNT CROSSING DR STE 108",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697287",
            "telephone_number": "618-825-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BOULDER CREEK DRIVE",
            "address_2": "APT 104",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622690079",
            "telephone_number": "618-825-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPING WITH CHOICES THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-825-8173"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Minerva Contasti, MD
• Makenzie R Contreraz
• Austin Cook
• Mallory Ann Cook, MSW, LCSW
• Noah M Cooperstein, MD
• Katherine Ann Corbin, NP-C
• Jayda Celeste Cordell
• Michael Charles Cornwall, RPH
• Kevin Corrigan
• Jill Elizabeth Coster, DO

• Clinical Social Worker in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.