Active NPI
Petina Collier Lindsey
- Clinical Social Worker
- St.. Charles, MO
National Provider Identifier
1497065585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005699
- Legal business name
- PETINA COLLIER LINDSEY
- Practice address
- 2536 Old Highway 94 S.
Suite #220
St.. Charles, MO 63303-5612 - Phone
- (636) 922-2000
- Fax
- (636) 329-0994
- NPI assigned
- Oct 7, 2010
- 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
- Petina Collier Lindsey, MSW
- Title
- Therapist
- Phone
- (314) 322-3326
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005699 | MO | Primary |
Addresses
Primary practice location
2536 Old Highway 94 S.
Suite #220
St.. Charles, MO 63303-5612
Mailing address
2536 Old Highway 94 S.
Suite #220
St.. Charles, MO 63303-5612
Phone (636) 922-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 494653421 | Medicaid | MO | |
| MA2556 | Other | MO | MEDICARE |
Other names 1
- Lindsey Therapy Group
National Provider Directory
National Provider DirectoryLocations
2536 S Old Highway 94
Ste 220
Saint Charles, MO 63303
Phone (636) 922-2000
Practitioners & 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": "1286409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1497065585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 OLD HIGHWAY 94 S.",
"address_2": "SUITE #220",
"city": "ST.. CHARLES",
"state": "MO",
"postal_code": "633035612",
"telephone_number": "636-922-2000",
"fax_number": "636-329-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 OLD HIGHWAY 94 S.",
"address_2": "SUITE #220",
"city": "ST.. CHARLES",
"state": "MO",
"postal_code": "633035612",
"telephone_number": "636-922-2000",
"fax_number": "636-329-0994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETINA COLLIER LINDSEY",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "LINDSEY",
"authorized_official_first_name": "PETINA",
"authorized_official_middle_name": "COLLIER",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "314-322-3326",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "005699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "494653421",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "MA2556",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lindsey Therapy Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in St.. Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.