Hypnotherapy Collaborative, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2007036005 Issued in MO

Legal business name

HYPNOTHERAPY COLLABORATIVE, LLC

Practice address

8123 January Ave
Berkeley, MO 63134-1513

Phone

(314) 680-8179

Fax

(314) 524-4145

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James B. Carroll, MA

Title

Counselor/Hypnotherapist

Phone

(314) 680-8179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1598098691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 JANUARY AVE",
            "city": "BERKELEY",
            "state": "MO",
            "postal_code": "631341513",
            "telephone_number": "314-680-8179",
            "fax_number": "314-524-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8123 JANUARY AVE",
            "city": "BERKELEY",
            "state": "MO",
            "postal_code": "631341513",
            "telephone_number": "314-680-8179",
            "fax_number": "314-524-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPNOTHERAPY COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "COUNSELOR/HYPNOTHERAPIST",
        "authorized_official_telephone_number": "314-680-8179",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2007036005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Berkeley, MO
• Providers in Berkeley, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.