Child and Adolescent Life Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHILD AND ADOLESCENT LIFE THERAPY

Practice address

4390 Lindell Blvd Ste 200
Saint Louis, MO 63108-2735

NPI assigned

May 25, 2019

Organization subpart

No

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

Authorized official

Name

Courtney L Luster, LPCNPI 1558688408

Title

Mental Health Therapist

Phone

(314) 440-8468

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Courtney Lynne Luster, MA, LPC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1558688408
  NPD (past) Authorized official

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

{
    "created_epoch": "1558742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558742400000",
    "number": "1639736515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 LINDELL BLVD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082735",
            "telephone_number": "314-744-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 LINDELL BLVD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT LIFE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-25",
        "last_updated": "2019-05-25",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "314-440-8468",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony L Chien, D.O.
• Sapna Chilakamarri, M.D.
• Srinivas Chilakamarri, MD
• Madan M Chilappa, M.D.
• Chilcutt & Steuterman, DDS, LLC
• Child and Family Empowerment Center
• Child Center of Our Lady
• Adrienne Louise Childers, MD
• Diane Lynn Childers, APRN, BC
• Pennie Childers

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2019; 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.