Active NPI
The Center for Mental Wellness, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clayton, MO
National Provider Identifier
1376211359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THE CENTER FOR MENTAL WELLNESS, LLC
- Practice address
- 121 Hunter Ave Ste 202
Clayton, MO 63124-2083 - Phone
- (314) 474-8804
- NPI assigned
- Sep 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natasha Doherty, LCSW
- Title
- President, Ceo
- Phone
- (314) 474-8804
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
121 Hunter Ave Ste 202
Clayton, MO 63124-2083
Mailing address
121 Hunter Ave Ste 202
Clayton, MO 63124-2083
Phone (314) 474-8804
Other practice location 1
200 S Hanley Rd Ste 504
Clayton, MO 63105-3415
Phone (314) 474-8004
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | natasha@survivethrivetherapy.com | ||
| Other URL | Natasha@mentallywellstl.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250225003383 | MO | Part B Supplier - Clinic/Group Practice | 5991225518 |
Receives reassigned benefits from 8 practitioners Practice locations: Clayton, MO |
National Provider Directory
National Provider DirectoryLocations
200 S Hanley Rd
Ste 504
Clayton, MO 63105
Phone (314) 474-8004
121 Hunter Ave
Ste 202
Saint Louis, MO 63124
Phone (314) 474-8804
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Maryland Heights, MO
- NPI 1871872218
Mental Health, MO
-
- Professional Counselor
- Saint Charles, MO
- NPI 1881310084
MO, Multi-Specialty
-
- Professional Counselor
- Creve Coeur, MO
- NPI 1578578852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1376211359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 HUNTER AVE STE 202",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631242083",
"telephone_number": "314-474-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 HUNTER AVE STE 202",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631242083",
"telephone_number": "314-474-8804"
}
],
"practiceLocations": [
{
"address_1": "200 S Hanley Rd Ste 504",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "MO",
"postal_code": "631053415",
"country_code": "US",
"telephone_number": "314-474-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE CENTER FOR MENTAL WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-02",
"last_updated": "2023-07-05",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "DOHERTY",
"authorized_official_first_name": "NATASHA",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "314-474-8804",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "natasha@survivethrivetherapy.com",
"affiliation": "N",
"address_1": "200 S Hanley Rd Ste 504",
"city": "Clayton",
"state": "MO",
"country_code": "US",
"postal_code": "631053415",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Natasha@mentallywellstl.com",
"affiliation": "N",
"address_1": "121 Hunter Ave Ste 202",
"city": "Clayton",
"state": "MO",
"country_code": "US",
"postal_code": "631242083",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.