NPIMap

Organization Active NPI

Perinatal Wellness Institute, LLC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1437791068
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PERINATAL WELLNESS INSTITUTE, LLC
Practice address
1480 Woodstone Dr Ste 112
Saint Charles, MO 63304-6872
Phone
(636) 699-2839
Fax
(844) 641-1015
NPI assigned
Oct 15, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Jamie K Bodily, LPCNPI 1720313596
Title
Executive Director
Phone
(636) 699-2839

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Professional Counselor 101YP2500X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

1480 Woodstone Dr Ste 112
Saint Charles, MO 63304-6872

Mailing address

1480 Woodstone Dr Ste 112
Saint Charles, MO 63304-6872
Phone (636) 699-2839

National Provider Directory

National Provider Directory

Locations

1480 Woodstone Dr
Ste 112
Saint Charles, MO 63304
Phone (314) 973-6273

Practitioners & affiliated clinicians

Practitioners 2

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": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1437791068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 WOODSTONE DR STE 112",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633046872",
            "telephone_number": "636-699-2839",
            "fax_number": "844-641-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 WOODSTONE DR STE 112",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633046872",
            "telephone_number": "636-699-2839",
            "fax_number": "844-641-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL WELLNESS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "BODILY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-699-2839",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.