Imani Counseling and Consulting Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2003015970 Issued in MO

Legal business name

IMANI COUNSELING AND CONSULTING SERVICES

Practice address

14220 Old Halls Ferry Rd
Suite 201
Florissant, MO 63034-2400

Phone

(314) 344-0983

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tracie Berry-McGhee, LPCNPI 1811996143

Title

Ceo, Therapist

Phone

(314) 344-0983

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Tracie Berry-McGhee, M.ED LPC

  • Professional Counselor
  • Saint Ann, MO
  • NPI 1811996143
  Authorized official Same address or phone

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1417282146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 OLD HALLS FERRY RD",
            "address_2": "SUITE 201",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 OLD HALLS FERRY RD",
            "address_2": "SUITE 201",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342400",
            "telephone_number": "314-344-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "BERRY-MCGHEE",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "CEO, THERAPIST",
        "authorized_official_telephone_number": "314-344-0983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2003015970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498356617",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Florissant, MO
• Providers in Florissant, 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 14, 2009; 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.