Double Rainbow Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000173 Issued in MO

Legal business name

DOUBLE RAINBOW COUNSELING

Practice address

412 S. Clay Ave
Suite 201
Kirkwood, MO 63122

Phone

(314) 822-9696

Fax

(314) 822-9696

NPI assigned

Dec 2, 2011

Organization subpart

No

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

Authorized official

Name

Patrick J. Fleming, M.S.W., L.C.S.W.NPI 1871712729

Title

Clinical Social Worker/Owner

Phone

(314) 822-9696

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Patrick J Fleming, MDIV, MSW, LCSW

  • Clinical Social Worker
  • Kirkwood, MO
  • NPI 1871712729
  NPD (past) Authorized official

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1164790309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S. CLAY AVE",
            "address_2": "SUITE 201",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-822-9696",
            "fax_number": "314-822-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S. CLAY AVE",
            "address_2": "SUITE 201",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-822-9696",
            "fax_number": "314-822-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE RAINBOW COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "314-822-9696",
        "authorized_official_credential": "M.S.W., L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Dix, PLPC
• Dathu Thi Doan, DDS
• Glennon Charles Doherty, M.ED., LPC
• Crystal M Dokes, BA
• James H Donnell, MD
• Aquilla Dover
• Margrethe Dowd
• Christine Downer, LPC
• Wendy Ann Dudek, LPC
• Durkin Physical Medicine

• Clinical Social Worker in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.