Organization Active NPI

Van Luven McKnight Psychological Associates

  • Social Worker
  • Creve Coeur, MO
National Provider Identifier
1457098816
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
VAN LUVEN MCKNIGHT PSYCHOLOGICAL ASSOCIATES
Practice address
955 Executive Parkway Dr Ste 100955
Creve Coeur, MO 63141-6363
Phone
(314) 537-6242
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Mrs. Jennifer Webbe Van Luven, LCSWNPI 1619304250
Title
Owner
Phone
(314) 537-6242

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
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

955 Executive Parkway Dr Ste 100955
Creve Coeur, MO 63141-6363

Mailing address

955 Executive Parkway Dr Ste 100
Creve Coeur, MO 63141-6356
Phone (314) 537-6242

Other names 1

  • West County Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@westcountybehavioral.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220624000327 MO Part B Supplier - Clinic/Group Practice 1254710098 Receives reassigned benefits from 6 practitioners
Practice locations: Creve Coeur, MO

National Provider Directory

National Provider Directory

Locations

955 Executive Parkway Dr
Creve Coeur, MO 63141
Phone (314) 200-5119

955 Executive Parkway Dr
Ste 100955
Creve Coeur, MO 63141
Phone (314) 537-6242

955 Executive Parkway Dr
Ste 100
Saint Louis, MO 63141
Phone (314) 200-5119

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1457098816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 EXECUTIVE PARKWAY DR STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416356",
            "telephone_number": "314-537-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 EXECUTIVE PARKWAY DR STE 100955",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416363",
            "telephone_number": "314-537-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN LUVEN MCKNIGHT PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "VAN LUVEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "WEBBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-537-6242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@westcountybehavioral.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "955 Executive Parkway Dr Ste 100",
            "city": "Creve Coeur",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "West County Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West County Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.