Organization Active NPI

Saint Louis Marriage Therapy, LLC

Doing business as St. Louis Marriage Therapy, LLC

  • Mental Health Counselor
  • Ballwin, MO
National Provider Identifier
1265784615
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2011031894 Issued in MO
Legal business name
SAINT LOUIS MARRIAGE THERAPY, LLC
Doing business as
St. Louis Marriage Therapy, LLC
Practice address
13610 Barrett Office Drive
Suite 214
Ballwin, MO 63021-7818
Phone
(314) 973-7997
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Mrs. Angela Lee Skurtu, LMFTNPI 1124288220
Title
Ceo/Licensed Marriage & Family Ther
Phone
(314) 973-7997

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2011031894 MO Primary

Addresses

Primary practice location

13610 Barrett Office Drive
Suite 214
Ballwin, MO 63021-7818

Mailing address

13610 Barrett Office Drive
Suite 214
Ballwin, MO 63021-7818
Phone (314) 973-7997

Other names 1

  • St. Louis Marriage Therapy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

13610 Barrett Office Dr
Ste 214
Ballwin, MO 63021
Phone (314) 973-7997

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": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1265784615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 BARRETT OFFICE DRIVE",
            "address_2": "SUITE 214",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217818",
            "telephone_number": "314-973-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 BARRETT OFFICE DRIVE",
            "address_2": "SUITE 214",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217818",
            "telephone_number": "314-973-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LOUIS MARRIAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "SKURTU",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO/LICENSED MARRIAGE & FAMILY THER",
        "authorized_official_telephone_number": "314-973-7997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011031894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Louis Marriage Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.