Phoenix Behavioral Health

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PHOENIX BEHAVIORAL HEALTH

Practice address

1034 S Brentwood Blvd Ste 555
Saint Louis, MO 63117-1265

Phone

(636) 324-3388

Fax

(636) 688-8047

NPI assigned

Apr 22, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zhanna KeetonNPI 1376929620

Title

Founder Ceo

Phone

(636) 324-3388

Specialties & licenses 3

Addresses

Electronic endpoints 1

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.

• Zhanna Keeton, PLPC

  • Professional Counselor
  • Ballwin, MO
  • NPI 1376929620
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1245850056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 555",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 555",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171265",
            "telephone_number": "636-324-3388",
            "fax_number": "636-688-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "FOUNDER CEO",
        "authorized_official_telephone_number": "636-324-3388"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.acuityscheduling.com",
            "affiliation": "Y",
            "endpointDescription": "Direct",
            "affiliationName": "Jimmy Keys Fitness and Wellness, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Health information exchange",
            "address_1": "1034 S Brentwood Blvd Ste 555",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy C Philpott, MD
• Nicole Phipps
• Quincy Ann Phipps, LPC
• Natasha Phiri
• Phlebotomy Services Plus LLC
• Phoenix Home Care, LLC
• Phoenix Home Care, LLC (Phoenix Home Care and Hospice)
• Phoenix Psychological Group, Inc
• Erin Buckley Phoenix, LPC
• Andrew Phung

• Adolescent and Children Mental Health Clinic/Center in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adolescent and Children Mental Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.