Mental Health Life LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MENTAL HEALTH LIFE LLC

Practice address

206 Candice Way
Saint Peters, MO 63376-4621

Phone

(714) 383-3310

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By 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

Jeff Thompson

Title

Director

Phone

(713) 383-3310

Specialties & licenses 1

Addresses

Tax ID family

Mental Health Life LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mental Health Life LLC

  • Psychiatry Physician
  • Saint Peters, MO
  • NPI 1780546887
  NPD tax ID

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.

• Raegan Gould

  • Behavior Analyst
  • Turlock, CA
  • NPI 1528655792
  NPD (past)

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1447071907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CANDICE WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CANDICE WAY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764621",
            "telephone_number": "714-383-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-383-3310"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Mendel, DPT
• Lux Star Mendoza
• Manuel Julio Menendez, DDS
• John S Menius, MD
• Menm, LLC (Miracle-Ear)
• Mental Health Life LLC
• Mercy Pharmacy Services LLC
• Mercy Pharmacy Services LLC
• Rachael A Mergenmeier, D.O.
• Nathan S Merhaut, D.C.

• Clinic/Center in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.