Organization Active NPI

First Choice Counseling PC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1285199646
Registry record updated Feb 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FIRST CHOICE COUNSELING PC
Practice address
569 Melville Ave Ste 202
Saint Louis, MO 63130-4512
Phone
(314) 762-6363
Fax
(877) 819-8247
NPI assigned
Feb 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2019

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

Authorized official

Name
Prof. Naaman Lauderdale, LPCC, PHD CESABDNPI 1598218273
Title
Director Clinical Services
Phone
(314) 762-6363

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

569 Melville Ave Ste 202
Saint Louis, MO 63130-4512

Mailing address

569 Melville Ave Ste 202
Saint Louis, MO 63130-4512
Phone (314) 762-6363

Other names 1

  • First Choice Counseling PC Doing business as

National Provider Directory

National Provider Directory

Locations

569 Melville Ave
Ste 202
University City, MO 63130
Phone (314) 762-6363

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": "1549670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549670400000",
    "number": "1285199646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 MELVILLE AVE STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304512",
            "telephone_number": "314-762-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 MELVILLE AVE STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304512",
            "telephone_number": "314-762-6363",
            "fax_number": "877-819-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-09",
        "last_updated": "2019-02-09",
        "status": "A",
        "authorized_official_last_name": "LAUDERDALE",
        "authorized_official_first_name": "NAAMAN",
        "authorized_official_title_or_position": "DIRECTOR CLINICAL SERVICES",
        "authorized_official_telephone_number": "314-762-6363",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LPCC, PHD CESABD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Counseling PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2019; 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.