Eureka Play Therapy

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EUREKA PLAY THERAPY

Practice address

208 N Central Ave Ste D
Eureka, MO 63025-1850

Phone

(314) 467-0556

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Wendy Velicer, LPCNPI 1245837921

Title

Owner

Phone

(314) 467-0556

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Wendy Velicer, LPC

  • Professional Counselor
  • Eureka, MO
  • NPI 1245837921
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1154922292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N CENTRAL AVE STE D",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251850",
            "telephone_number": "314-467-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N CENTRAL AVE STE D",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251850",
            "telephone_number": "314-467-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA PLAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "VELICER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-467-0556",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Eureka",
            "affiliation": "N",
            "address_1": "208 N Central Ave Ste D",
            "city": "Eureka",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630251850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eureka Fire Protection District of St. Louis County
• Eureka Medical LLC
• Eureka Pain Clinic LLC
• Eureka Pediatrics
• Eureka Physical Therapy
• Eureka Smiles
• Eureka Urgent Care LLC
• Eye Associates Partners LLC
• Tessa Fate, PT, DPT
• Patrick D Feder, DC

• Adolescent and Children Mental Health Clinic/Center in Eureka, MO
• Providers in Eureka, MO by specialty
• Adolescent and Children Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.