Organization Active NPI

Klynn Counseling LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1144518168
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010035822 Issued in MO
Legal business name
KLYNN COUNSELING LLC
Practice address
1001 Craig Rd
Suite 260
Saint Louis, MO 63146-5277
Phone
(314) 569-9848
Fax
(314) 569-9851
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Mrs. Karen Lynn Becker, LCSWNPI 1144472259
Title
President
Phone
(314) 569-9848

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 2010035822 MO Primary

Addresses

Primary practice location

1001 Craig Rd
Suite 260
Saint Louis, MO 63146-5277

Mailing address

1001 Craig Rd
Suite 206
Saint Louis, MO 63146-5277
Phone (314) 569-9848

Other identifiers 1

IdentifierTypeStateIssuer
12279787OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205000665 MO Part B Supplier - Clinic/Group Practice 5496281131 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1001 Craig Rd
Ste 206
Saint Louis, MO 63146

1001 Craig Rd
Ste 260
Saint Louis, MO 63146
Phone (314) 569-9848

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1144518168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CRAIG RD",
            "address_2": "SUITE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465277",
            "telephone_number": "314-569-9848",
            "fax_number": "314-569-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CRAIG RD",
            "address_2": "SUITE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465277",
            "telephone_number": "314-569-9848",
            "fax_number": "314-569-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLYNN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-569-9848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010035822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12279787",
            "state": null
        }
    ],
    "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 Oct 12, 2011; 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.