NPIMap

Organization Active NPI

Let's Talk Teen Clinic Inc.

  • Community Health Clinic/Center
  • Ferguson, MO
National Provider Identifier
1164860375
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
2002031370 Issued in MO
Legal business name
LET'S TALK TEEN CLINIC INC.
Practice address
119 Church Street
Suite 131
Ferguson, MO 63135
Phone
(314) 494-2584
NPI assigned
Jun 10, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Staisy Young, WHNP-BCNPI 1174769517
Title
Nurse Practitioner
Phone
(314) 494-2584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 2002031370 MO Primary

Addresses

Primary practice location

119 Church Street
Suite 131
Ferguson, MO 63135

Mailing address

119 Church Street
Suite 131
Ferguson, MO 63135

National Provider Directory

National Provider Directory

Locations

119 Church St
Ste 131
Ferguson, MO 63135
Phone (314) 494-2584

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1164860375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHURCH STREET",
            "address_2": "SUITE 131",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "63135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHURCH STREET",
            "address_2": "SUITE 131",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "63135",
            "telephone_number": "314-494-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET'S TALK TEEN CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STAISY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-494-2584",
        "authorized_official_credential": "WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MO",
            "license": "2002031370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferguson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.