NPIMap

Organization Active NPI

Catholic Family Services Inc.

Doing business as Family Wellness Program

  • Mental Health Counselor
  • Union, MO
National Provider Identifier
1154480176
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CATHOLIC FAMILY SERVICES INC.
Doing business as
Family Wellness Program
Practice address
100 W Main St
Union, MO 63084-1363
Phone
(636) 583-1800
Fax
(636) 583-0836
NPI assigned
Dec 6, 2006
Last updated
Mar 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Jerry L Marks
Title
Executive Director
Phone
(314) 544-3800

Specialties & licenses 1

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

Addresses

Primary practice location

100 W Main St
Union, MO 63084-1363

Mailing address

100 West Main St
Union, MO 63084
Phone (636) 583-1800

Other names 1

  • Family Wellness Program Doing business as

National Provider Directory

National Provider Directory

Locations

4450 Washington St
Florissant, MO 63033
Phone (314) 831-1533

1349 McNutt St
Herculaneum, MO 63048
Phone (636) 638-2203

311 S Main St
Ste 100
O Fallon, MO 63366
Phone (636) 281-1990

10235 Ashbrook Dr
Saint Louis, MO 63137
Phone (314) 831-1533

9200 Watson Rd
Ste G101
Saint Louis, MO 63126
Phone (314) 367-5500

140 Professional Pkwy
Troy, MO 63379
Phone (636) 528-5591

102 E Springfield Ave
Union, MO 63084
Phone (636) 583-1800

102 E Springfield Ave
Ste 202
Union, MO 63084
Phone (636) 583-1800

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1154480176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST MAIN ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-583-1800",
            "fax_number": "636-583-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630841363",
            "telephone_number": "636-583-1800",
            "fax_number": "636-583-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-544-3800"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Wellness Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.