NPIMap

Organization Active NPI

Celebrationpointe

Doing business as The Community Counseling and Housing Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hazelwood, MO
National Provider Identifier
1568010346
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
CELEBRATIONPOINTE
Doing business as
The Community Counseling and Housing Services
Practice address
6110 Howdershell Rd
Hazelwood, MO 63042-1170
Phone
(314) 580-3029
NPI assigned
Aug 26, 2019
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Marvin Shelton, ED.D, ED.S, RSAP,NPI 1003364969
Title
Ceo
Phone
(314) 580-3029

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 12

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Internal Medicine Physician 207R00000X NU
Sports Medicine (Preventive Medicine) Physician 2083S0010X NU
Addiction Psychiatry Physician 2084P0802X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Primary Care Clinic/Center 261QP2300X NU
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Occupational Medicine Clinic/Center 261QX0100X NU
Assisted Living Facility (Mental Illness) 3104A0625X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU

Addresses

Primary practice location

6110 Howdershell Rd
Hazelwood, MO 63042-1170

Mailing address

6110 Howdershell Rd
Hazelwood, MO 63042-1170
Phone (314) 580-3029

Other identifiers 1

IdentifierTypeStateIssuer
500075300MedicaidMO

Other names 1

  • The Community Counseling and Housing Services Doing business as

National Provider Directory

National Provider Directory

Locations

6110 Howdershell Rd
Hazelwood, MO 63042
Phone (314) 731-5300

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1568010346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 HOWDERSHELL RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421170",
            "telephone_number": "314-580-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 HOWDERSHELL RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421170",
            "telephone_number": "314-580-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATIONPOINTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-580-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, ED.S, RSAP,"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500075300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Community Counseling and Housing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.