Organization Active NPI

St. Patrick Center

  • Case Management Agency
  • Saint Louis, MO
National Provider Identifier
1568913564
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ST. PATRICK CENTER
Practice address
800 N Tucker Blvd
Saint Louis, MO 63101-1000
Phone
(314) 802-1958
Fax
(314) 802-1980
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Ms. Maureen Therese Hentz, MA, LPC
Title
Clinical Supervisor
Phone
(314) 802-1958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MO Primary

Addresses

Primary practice location

800 N Tucker Blvd
Saint Louis, MO 63101-1000

Mailing address

800 N Tucker Blvd
Saint Louis, MO 63101-1000
Phone (314) 802-1958

Other identifiers 1

IdentifierTypeStateIssuer
101YM0800XMedicaidMO

National Provider Directory

National Provider Directory

Locations

800 N Tucker Blvd
Saint Louis, MO 63101
Phone (314) 802-0700

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1568913564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011000",
            "telephone_number": "314-802-1958",
            "fax_number": "314-802-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N TUCKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011000",
            "telephone_number": "314-802-1958",
            "fax_number": "314-802-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PATRICK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "HENTZ",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "314-802-1958",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YM0800X",
            "state": "MO"
        }
    ],
    "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 Oct 14, 2016; 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.