NPIMap

Organization Active NPI

Karis House Community Cousneling Center

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1588057350
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KARIS HOUSE COMMUNITY COUSNELING CENTER
Practice address
2811 S Kingshighway Blvd
Saint Louis, MO 63139-1006
Phone
(314) 802-8805
Fax
(314) 255-1852
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Matthew Henderickson
Title
Adminstrator
Phone
(314) 802-8805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2811 S Kingshighway Blvd
Saint Louis, MO 63139-1006

Mailing address

2811 S Kingshighway Blvd
Saint Louis, MO 63139-1006
Phone (314) 802-8805

National Provider Directory

National Provider Directory

Locations

2811 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 379-9905

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1588057350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391006",
            "telephone_number": "314-802-8805",
            "fax_number": "314-255-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391006",
            "telephone_number": "314-802-8805",
            "fax_number": "314-255-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIS HOUSE COMMUNITY COUSNELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "HENDERICKSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "314-802-8805"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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, 2015; 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.