Parenting and Child Conduct Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2010008296 Issued in MO

Legal business name

PARENTING AND CHILD CONDUCT COUNSELING

Practice address

2850 West Clay
Suite 255
St Charles, MO 63301-2579

Phone

(636) 699-0872

Fax

(636) 699-0872

NPI assigned

Oct 25, 2012

Organization subpart

Yes

Parent organization

PARENTING AND CHILD CONDUCT COUNSELINGAs reported in NPPES

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

Authorized official

Name

Mr. Gayle G. Anderson, LPC

Title

Owner

Phone

(636) 699-0872

Specialties & licenses 1

Addresses

Part of

Parenting and Child Conduct Counseling

Locations

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1366795411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WEST CLAY",
            "address_2": "SUITE 255",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633012579",
            "telephone_number": "636-699-0872",
            "fax_number": "678-298-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WEST CLAY",
            "address_2": "SUITE 255",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "633012579",
            "telephone_number": "636-699-0872",
            "fax_number": "636-699-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENTING AND CHILD CONDUCT COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARENTING AND CHILD CONDUCT COUNSELING",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-699-0872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010008296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in St Charles, MO
• Providers in St Charles, 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 25, 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.