Active NPI
Liberate Learning Institute
- Community/Behavioral Health Agency
- Saint Louis, MO
National Provider Identifier
1467802322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIBERATE LEARNING INSTITUTE
- Practice address
- 801 N 11TH St
Saint Louis, MO 63101-1015 - Phone
- (314) 690-9433
- NPI assigned
- Jun 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon-Pierre Mitchom, PLPC
- Title
- Founder/Ceo
- Phone
- (314) 690-9433
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MO | ||
| Professional Counselor | 101YP2500X | MO | ||
| Clinical Social Worker | 1041C0700X | MO | ||
| Community/Behavioral Health Agency | 251S00000X | MO | Primary |
Addresses
Primary practice location
801 N 11TH St
Saint Louis, MO 63101-1015
Mailing address
3833 McRee Ave
Saint Louis, MO 63110-2619
Phone (314) 690-9433
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1466467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466726400000",
"number": "1467802322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 MCREE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631102619",
"telephone_number": "314-690-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N 11TH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631011015",
"telephone_number": "314-690-9433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERATE LEARNING INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-24",
"status": "A",
"authorized_official_last_name": "MITCHOM",
"authorized_official_first_name": "JON-PIERRE",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "314-690-9433",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PLPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.