Midwest Counseling Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002017413 Issued in MO

Legal business name

MIDWEST COUNSELING SERVICES

Practice address

1000 Edgewater Point
Suite 304
Lake St Louis, MO 63367

Phone

(636) 373-3236

Fax

(636) 625-1633

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Wilda Darlene Witt, LPC ICAADC

Title

Professional Counselor

Phone

(636) 299-2569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1285705855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDGEWATER POINT",
            "address_2": "SUITE 304",
            "city": "LAKE ST. LOUIS",
            "state": "MO",
            "postal_code": "63367",
            "telephone_number": "636-373-3236",
            "fax_number": "636-625-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDGEWATER POINT",
            "address_2": "SUITE 304",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "63367",
            "telephone_number": "636-373-3236",
            "fax_number": "636-625-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "WILDA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "636-299-2569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC ICAADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002017413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.