NPIMap

Organization Active NPI

Comprehensive Mental Health, Inc

  • Clinical Social Worker
  • Saint Charles, MO
National Provider Identifier
1306026539
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004635 Issued in MO
Legal business name
COMPREHENSIVE MENTAL HEALTH, INC
Practice address
200 S Kingshighway St
Suite 200
Saint Charles, MO 63301-1637
Phone
(636) 949-2650
Fax
(696) 949-2650
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Ms. Jo Ann Booth, MSW, LCSWNPI 1598845877
Title
President/Therapist
Phone
(636) 949-2650

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 004635 MO Primary

Addresses

Primary practice location

200 S Kingshighway St
Suite 200
Saint Charles, MO 63301-1637

Mailing address

200 S Kingshighway St
Suite 200
Saint Charles, MO 63301-1637
Phone (636) 949-2650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000308 MO Part B Supplier - Clinic/Group Practice 0244283919 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Charles, MO

National Provider Directory

National Provider Directory

Locations

200 S Kingshighway St
Ste 200
Saint Charles, MO 63301
Phone (636) 949-2650

Practitioners & affiliated clinicians

Practitioners 6

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1306026539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S KINGSHIGHWAY ST",
            "address_2": "SUITE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011637",
            "telephone_number": "636-949-2650",
            "fax_number": "696-949-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S KINGSHIGHWAY ST",
            "address_2": "SUITE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011637",
            "telephone_number": "636-949-2650",
            "fax_number": "696-949-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "636-949-2650",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.