Individual provider Active NPI

Caitlin Elayne Adolphsen Kishore

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1548951767
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2026012076 Issued in MO
Practice address
967 Gardenview Office Pkwy
Saint Louis, MO 63141-5917
Phone
(314) 561-9757
NPI assigned
May 18, 2023
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2026012076 MO Primary

Addresses

Primary practice location

967 Gardenview Office Pkwy
Saint Louis, MO 63141-5917

Mailing address

7253 Watson Rd
Saint Louis, MO 63119-4401

Other practice location 1

5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Phone (314) 469-4908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2026012076MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Mindfulness and CBT, LLC CurrentSince Dec 24, 2023 Accepting new patients
Behavioral Health Response, Inc Counselor CurrentSince May 28, 2023 Accepting new patients
The Center for Mindfulness and CBT, LLC PastSince Dec 24, 2023 Accepting new patients

Locations

5501 Delmar Blvd
Ste B300
Saint Louis, MO 63112
Phone (314) 469-4908

967 Gardenview Office Pkwy
Saint Louis, MO 63141
Phone (314) 561-9757

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1548951767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 GARDENVIEW OFFICE PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415917",
            "telephone_number": "314-561-9757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Delmar Blvd Ste B300",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631123078",
            "country_code": "US",
            "telephone_number": "314-469-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISHORE",
        "first_name": "CAITLIN",
        "middle_name": "ELAYNE ADOLPHSEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2026012076",
            "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 Mar 18, 2026; 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.