NPIMap

Organization Active NPI

Agape Christian Counseling Services

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1407906803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2004003789 Issued in MO
Legal business name
AGAPE CHRISTIAN COUNSELING SERVICES
Practice address
9378 Olive Blvd
Ste. 317
Saint Louis, MO 63132-3215
Phone
(314) 994-9344
Fax
(314) 994-3007
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Darrell Provinse, L.P.C.NPI 1245380641
Title
Executive Director
Phone
(314) 994-9344

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2004003789 MO Primary

Addresses

Primary practice location

9378 Olive Blvd
Ste. 317
Saint Louis, MO 63132-3215

Mailing address

9378 Olive Blvd
Ste. 317
Saint Louis, MO 63132-3215
Phone (314) 994-9344

National Provider Directory

National Provider Directory

Locations

9273 Coach Stop Rd
Columbia, IL 62236
Phone (618) 910-1397

12801 Flushing Meadows Dr
Ste 100
Saint Louis, MO 63131
Phone (314) 594-7530

Practitioners & affiliated clinicians

Practitioners 10

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407906803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "STE. 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-994-9344",
            "fax_number": "314-994-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "STE. 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-994-9344",
            "fax_number": "314-994-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CHRISTIAN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROVINSE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-994-9344",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2004003789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.