Counseling and Assessment Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2005028635 Issued in MO

Legal business name

COUNSELING AND ASSESSMENT CENTER, LLC

Practice address

300 Ozark Trail Dr
Suite 220
Ellisville, MO 63011-2166

Phone

(314) 971-5797

Fax

(888) 224-4141

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Stacey Ann Roth-Larose, LPC

Title

Sole Member

Phone

(314) 971-5797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1184909574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 PARKER DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214836",
            "telephone_number": "314-971-5797",
            "fax_number": "888-224-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OZARK TRAIL DR",
            "address_2": "SUITE 220",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112166",
            "telephone_number": "314-971-5797",
            "fax_number": "888-224-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND ASSESSMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "ROTH-LAROSE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "314-971-5797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2005028635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.