NPIMap

Organization Active NPI

Agape

  • Community/Behavioral Health Agency
  • Olivette, MO
National Provider Identifier
1235522673
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2003031617 Issued in MO
Legal business name
AGAPE
Practice address
9378 Olive Blvd
Suite 317
Olivette, MO 63132-3215
Phone
(314) 994-9344
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Mr. Darrell G Provinse
Title
President/Executive Director
Phone
(314) 994-9344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180-001482 IL
Community/Behavioral Health Agency 251S00000X 2003031617 MO Primary

Addresses

Primary practice location

9378 Olive Blvd
Suite 317
Olivette, MO 63132-3215

Mailing address

9378 Olive Blvd
Suite 317
Olivette, MO 63132-3215
Phone (314) 994-9344

National Provider Directory

National Provider Directory
Tax ID family
Agape Christian Counseling Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1235522673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "SUITE 317",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-994-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "SUITE 317",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-994-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "PROVINSE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-994-9344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180-001482",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2003031617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olivette, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.