Organization Active NPI

Rejuvenating Comprehensive Services

Doing business as Rejuvenating Comprehensive Services, LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1437719879
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REJUVENATING COMPREHENSIVE SERVICES
Doing business as
Rejuvenating Comprehensive Services, LLC
Practice address
9231 W Florissant Ave
Saint Louis, MO 63136-1422
Phone
(314) 279-1444
Fax
(314) 801-8178
NPI assigned
Jun 18, 2019
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Keely Finney, LCSW
Title
Therapist
Phone
(314) 504-4706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9231 W Florissant Ave
Saint Louis, MO 63136-1422

Mailing address

2100 E Fair Ave
Saint Louis, MO 63107-1022
Phone (314) 504-4706

Other identifiers 2

IdentifierTypeStateIssuer
1588009344OtherMOPERSONAL NPI
163511MedicaidMO

Other names 1

  • Rejuvenating Comprehensive Services, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rejuvenatingcs@gmail.com

National Provider Directory

National Provider Directory

Locations

9191 West Florissant Ave
Ste 206
Saint Louis, MO 63136
Phone (314) 313-5539

9231 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 279-1444

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1437719879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E FAIR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631071022",
            "telephone_number": "314-504-4706",
            "fax_number": "314-659-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361422",
            "telephone_number": "314-279-1444",
            "fax_number": "314-801-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATING COMPREHENSIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "FINNEY",
        "authorized_official_first_name": "KEELY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "314-504-4706",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1588009344",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163511",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rejuvenatingcs@gmail.com",
            "affiliation": "N",
            "address_1": "9191 W Florissant Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631361413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rejuvenating Comprehensive Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2021; 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.