Organization Active NPI

The Whole You Wellness and Counseling Center LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1245710250
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017041636 Issued in MO
Legal business name
THE WHOLE YOU WELLNESS AND COUNSELING CENTER LLC
Practice address
11628 Old Ballas Rd # 223
Saint Louis, MO 63141-7030
Phone
(314) 827-7627
NPI assigned
Aug 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Mekeya Jama, LCSWNPI 1639684921
Title
Owner
Phone
(314) 626-3308

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2017041636 MO Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 2017041636 MO

Addresses

Primary practice location

11628 Old Ballas Rd # 223
Saint Louis, MO 63141-7030

Mailing address

11628 Old Ballas Rd # 223
Saint Louis, MO 63141-7030
Phone (314) 827-7627

Other practice location 1

3309 S Kingshighway Blvd # 223
Saint Louis, MO 63139
Phone (314) 206-3700

Other identifiers 1

IdentifierTypeStateIssuer
1639684921OtherMOTYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

3309 S Kingshighway Blvd
#223
Saint Louis, MO 63139

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1245710250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD # 223",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-827-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD # 223",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-827-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3309 S Kingshighway Blvd # 223",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63139",
            "country_code": "US",
            "telephone_number": "314-206-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE WHOLE YOU WELLNESS AND COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "MEKEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-626-3308",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017041636",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MO",
            "license": "2017041636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1639684921",
            "state": "MO"
        }
    ],
    "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 Aug 8, 2024; 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.