Organization Active NPI

Emergence Psychological Services

  • Community/Behavioral Health Agency
  • Saint Louis, MO
National Provider Identifier
1194140756
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMERGENCE PSYCHOLOGICAL SERVICES
Practice address
1131 Thornwood Dr
Saint Louis, MO 63124-1227
Phone
(314) 800-4215
NPI assigned
Feb 19, 2014
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Jameca Woody-Cooper, PHDNPI 1942242227
Title
Counseling Psychologist
Phone
(314) 800-4215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X LC1378481 MO
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1131 Thornwood Dr
Saint Louis, MO 63124-1227

Mailing address

8000 Bonhomme Ave Ste 206
Clayton, MO 63105-3515
Phone (314) 800-4215

Other practice location 1

950 Missouri Ave
East Saint Louis, IL 62201-1000
Phone (314) 800-4215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140404000390 MO Part B Supplier - Clinic/Group Practice 9537391693 Receives reassigned benefits from 5 practitioners
Practice locations: Saint Louis, MO
O20181025001261 IL Part B Supplier - Clinic/Group Practice 9537391693 Receives reassigned benefits from 1 practitioner
Practice locations: Bethalto, IL

National Provider Directory

National Provider Directory

Locations

333 W Bethalto Dr
Bethalto, IL 62010
Phone (314) 800-4215

5621 Delmar Blvd
Ste 104
Saint Louis, MO 63112
Phone (314) 549-8483

8000 Bonhomme Ave
Ste 206
Saint Louis, MO 63105
Phone (314) 800-4215

8000 Bonhomme Ave
Ste 315
Saint Louis, MO 63105
Phone (314) 800-4215

Practitioners & affiliated clinicians

Practitioners 7

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": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1194140756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 206",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-800-4215",
            "fax_number": "949-863-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 THORNWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241227",
            "telephone_number": "314-800-4215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "East Saint Louis",
            "state": "IL",
            "postal_code": "622011000",
            "country_code": "US",
            "telephone_number": "314-800-4215",
            "fax_number": "949-863-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGENCE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "WOODY-COOPER",
        "authorized_official_first_name": "JAMECA",
        "authorized_official_title_or_position": "COUNSELING PSYCHOLOGIST",
        "authorized_official_telephone_number": "314-800-4215",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "LC1378481",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.