Active NPI
Family Care Counseling LLC
- Addiction Psychiatry Physician
- Arnold, MO
National Provider Identifier
1497911986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- Legal business name
- FAMILY CARE COUNSELING LLC
- Practice address
- 1699 Jeffco Blvd
Arnold, MO 63010 - Phone
- (636) 287-1444
- Fax
- (636) 287-1834
- NPI assigned
- Aug 4, 2008
- 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
- Srinivas Chilakamarri, MD
- Title
- President Owner
- Phone
- (314) 849-0450
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Addiction Psychiatry Physician | 2084P0802X | Primary |
Addresses
Primary practice location
1699 Jeffco Blvd
Arnold, MO 63010
Mailing address
1699 Jeffco Blvd
Arnold, MO 63010
Phone (636) 287-1444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1497911986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 JEFFCO BLVD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "63010",
"telephone_number": "636-287-1444",
"fax_number": "636-287-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1699 JEFFCO BLVD",
"city": "ARNOLD",
"state": "MO",
"postal_code": "63010",
"telephone_number": "636-287-1444",
"fax_number": "636-287-1834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "CHILAKAMARRI",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "314-849-0450",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.