Pivot Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2014016172 Issued in MO

Legal business name

PIVOT COUNSELING LLC

Practice address

7526 Big Bend Blvd
Webster Groves, MO 63119-2104

Phone

(314) 578-7608

NPI assigned

Dec 20, 2015

Last updated

Dec 20, 2015By 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

Jennie Oberkrom, LCSWNPI 1952574212

Title

Owner

Phone

(314) 578-7608

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jennie Lee Oberkrom, MSW, LCSW

  • Clinical Social Worker
  • High Ridge, MO
  • NPI 1952574212
  NPD Authorized official

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

{
    "created_epoch": "1450569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450569600000",
    "number": "1285099143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 BIG BEND BLVD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192104",
            "telephone_number": "314-578-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7526 BIG BEND BLVD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192104",
            "telephone_number": "314-578-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-20",
        "last_updated": "2015-12-20",
        "status": "A",
        "authorized_official_last_name": "OBERKROM",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-578-7608",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014016172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952574212",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Pentz, M.A.
• Tammy Galensky Pentz, M.S., B.C.B.A., LBA
• Jacob David Perkins, LCSW, MSW
• Perspectives Psychotherapy LLC
• Joshua Todd Pitchford, RPH
• Denise S. Plaisance, D.C.
• Kathy Ann Plurad, R.P.T.
• Adam Michael Presswood, SLP-CCC
• Joan Ann Puglisi, PT, PCS
• Kathryn Randle, LCSW

• Clinical Social Worker in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.