Karis House Community Counseling Netowrk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KARIS HOUSE COMMUNITY COUNSELING NETOWRK

Practice address

625 Meramec Station Rd
Manchester, MO 63021-5550

Phone

(314) 266-6148

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Amy Mattia, MA LPCNPI 1417332370

Title

Executive Director

Phone

(314) 266-6148

Specialties & licenses 3

Addresses

Other names 2

• Karis House Community Counseling Center Former legal business name
• Karis House Community Counseling Centter Former legal business name

Locations

Practitioners 1

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

• Amy Mattia

  • Professional Counselor
  • Manchester, MO
  • NPI 1417332370

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1497550974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MERAMEC STATION RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215550",
            "telephone_number": "314-266-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MERAMEC STATION RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630215550",
            "telephone_number": "314-266-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIS HOUSE COMMUNITY COUNSELING NETOWRK",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "MATTIA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-266-6148",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karis House Community Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Karis House Community Counseling Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Karis House Community Counseling Centter",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jbracewell Enterprises, LLC
• Martha L Jennings
• Jasmine Johnson
• Niakisha Johnson, PHARMD
• Matthew B Jones, MD
• Elysha Kennedy
• Daniel Kickham, LPC
• Josiah Andrew Kime, LPC
• Amy King
• Cheryl Kinney, LCSW

• Mental Health Counselor in Manchester, MO
• Providers in Manchester, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.