NPIMap

Organization Active NPI

Wellness Alliance Counseling & Psychotherapy

  • Clinical Psychologist
  • Clayton, MO
National Provider Identifier
1467083220
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WELLNESS ALLIANCE COUNSELING & PSYCHOTHERAPY
Practice address
7710 Carondelet Ave Ste 304
Clayton, MO 63105-3319
Phone
(314) 391-8030
Fax
(833) 969-0194
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Carolyn Versical, PSYDNPI 1144774647
Title
Clinical Psychologist
Phone
(314) 391-8030

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7710 Carondelet Ave Ste 304
Clayton, MO 63105-3319

Mailing address

7710 Carondelet Ave Ste 304
Clayton, MO 63105-3319
Phone (314) 391-8030

National Provider Directory

National Provider Directory

Locations

7710 Carondelet Ave
Ste 304
Saint Louis, MO 63105
Phone (314) 391-8030

Practitioners & affiliated clinicians

Practitioners 6

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": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1467083220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 304",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-391-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 304",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-391-8030",
            "fax_number": "833-969-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ALLIANCE COUNSELING & PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "VERSICAL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "314-391-8030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.