NPIMap

Organization Active NPI

O'Fallon Marital & Family Counseling and Wellness Center

  • Marriage & Family Therapist
  • O'Fallon, MO
National Provider Identifier
1619101482
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2009005905 Issued in MO
Legal business name
O'FALLON MARITAL & FAMILY COUNSELING AND WELLNESS CENTER
Practice address
1137 N Main St
Suite 2
O Fallon, MO 63366-1498
Phone
(636) 294-4640
Fax
(636) 294-4641
NPI assigned
May 8, 2009
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Patricia Ann Rowan, DMFTNPI 1841432267
Title
President, Clinical Director
Phone
(636) 294-4640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 2009005905 MO Primary

Addresses

Primary practice location

1137 N Main St
Suite 2
O Fallon, MO 63366-1498

Mailing address

1137 N Main St
Suite 2
O Fallon, MO 63366-1498
Phone (636) 294-4640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1619101482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661498",
            "telephone_number": "636-294-4640",
            "fax_number": "636-294-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661498",
            "telephone_number": "636-294-4640",
            "fax_number": "636-294-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'FALLON MARITAL & FAMILY COUNSELING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "636-294-4640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2009005905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.