Organization Active NPI

Noah Henderson PHD MFT

Doing business as United Chrisrtian Counseling Center LLC

  • Marriage & Family Therapist
  • Saint Louis, MO
National Provider Identifier
1225641673
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NOAH HENDERSON PHD MFT
Doing business as
United Chrisrtian Counseling Center LLC
Practice address
231 S Bemiston Ave Ste 800
Saint Louis, MO 63105-1925
Phone
(180) 055-6376
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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

Authorized official

Name
Dr. Noah Jameel Henderson, PHD MFT
Title
Chief Executive Officer
Phone
(314) 391-0248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Infusion Therapy Clinic/Center 261QI0500X

Addresses

Primary practice location

231 S Bemiston Ave Ste 800
Saint Louis, MO 63105-1925

Mailing address

231 S Bemiston Ave Ste 800
Saint Louis, MO 63105-1925
Phone (180) 055-6376

Other practice location 1

7733 Forsyth Blvd Fl 11
Clayton, MO 63105-1878
Phone (314) 485-9298

Other identifiers 1

IdentifierTypeStateIssuer
0024589MedicaidMO

Other names 1

  • United Chrisrtian Counseling Center LLC Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL unitedccenter.com Health Information Exchange (HIE)
CONNECT URL info@unitedcccenter.com Direct
Other URL noah.henderson@unitedcccenter Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

231 S Bemiston Ave
Ste 800
Saint Louis, MO 63105
Phone (214) 814-0994

Practitioners & affiliated clinicians

Practitioners 1

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": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654992000000",
    "number": "1225641673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S BEMISTON AVE STE 800",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051925",
            "telephone_number": "180-055-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S BEMISTON AVE STE 800",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051925",
            "telephone_number": "180-055-6376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7733 Forsyth Blvd Fl 11",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631051878",
            "country_code": "US",
            "telephone_number": "314-485-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOAH HENDERSON PHD MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-06-12",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "JAMEEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-391-0248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0024589",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unitedccenter.com",
            "affiliation": "N",
            "endpointDescription": "Therapy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7733 Forsyth Blvd Fl 11",
            "city": "Clayton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631051878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@unitedcccenter.com",
            "affiliation": "N",
            "endpointDescription": "Company Information Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7733 Forsyth Blvd Fl 11",
            "city": "Clayton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631051878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "noah.henderson@unitedcccenter",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 S Bemiston Ave Ste 800",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631051925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "United Chrisrtian Counseling Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2022; 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.