Active NPI
Genesis Christian Counseling, LLC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1265763569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC0980816
- Legal business name
- GENESIS CHRISTIAN COUNSELING, LLC
- Practice address
- 2190 S Mason Rd Ste 306
Saint Louis, MO 63131-1637 - Phone
- (314) 821-7335
- Fax
- (314) 821-7446
- NPI assigned
- Jan 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Andrew Holden, LPC
- Title
- Member
- Phone
- (314) 821-7335
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC0980816 | MO | Primary |
Addresses
Primary practice location
2190 S Mason Rd Ste 306
Saint Louis, MO 63131-1637
Mailing address
2190 S Mason Rd Ste 306
Saint Louis, MO 63131-1637
Phone (314) 821-7335
National Provider Directory
National Provider DirectoryLocations
2190 S Mason Rd
Ste 306
Saint Louis, MO 63131
Phone (314) 821-7335
Practitioners & affiliated clinicians
Practitioners 2
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": "1264464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264464000000",
"number": "1265763569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 S MASON RD STE 306",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311637",
"telephone_number": "314-821-7335",
"fax_number": "314-821-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 S MASON RD STE 306",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311637",
"telephone_number": "314-821-7335",
"fax_number": "314-821-7446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS CHRISTIAN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A",
"authorized_official_last_name": "HOLDEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "314-821-7335",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": "LC0980816",
"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 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.