NPIMap

Organization Active NPI

Community Behavior Health

  • Addiction (Substance Use Disorder) Counselor
  • Saint Louis, MO
National Provider Identifier
1588094312
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
COMMUNITY BEHAVIOR HEALTH
Practice address
1027 S Vandeventer Ave
Saint Louis, MO 63110-3800
Phone
(314) 282-0804
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Naim Muhammad
Title
Director
Phone
(314) 282-0804

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MO Primary
Case Management Agency 251B00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Non-emergency Medical Transport (VAN) 343900000X
Child Mental Illness Respite Care 385HR2055X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

1027 S Vandeventer Ave
Saint Louis, MO 63110-3800

Mailing address

1027 S Vandeventer Ave
Saint Louis, MO 63110-3800
Phone (314) 556-4443

Other identifiers 1

IdentifierTypeStateIssuer
1588094312MedicaidMO

Other names 1

  • Community Behavior Health Doing business as

National Provider Directory

National Provider Directory

Locations

1027 S Vandeventer Ave
Saint Louis, MO 63110
Phone (314) 282-0804

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588094312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103800",
            "telephone_number": "314-556-4443",
            "fax_number": "314-833-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631103800",
            "telephone_number": "314-282-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BEHAVIOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "NAIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-282-0804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588094312",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Behavior Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Behavior Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.