Organization Active NPI

Playhouse Collaborative

  • Mental Health Counselor
  • Weldon Spring, MO
National Provider Identifier
1649008475
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PLAYHOUSE COLLABORATIVE
Practice address
500 Huber Park CT Ste 106
Weldon Spring, MO 63304-8683
Phone
(636) 344-0580
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Marie Bonner-Horon, LPC, NCC, RPT-S, ACSNPI 1215487590
Title
Co-Founder
Phone
(618) 292-5957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

500 Huber Park CT Ste 106
Weldon Spring, MO 63304-8683

Mailing address

500 Huber Park CT Ste 106
Weldon Spring, MO 63304-8683
Phone (636) 344-0580

National Provider Directory

National Provider Directory

Locations

500 Huber Park Ct
Ste 106
Weldon Spring, MO 63304
Phone (636) 344-0580

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": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1649008475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HUBER PARK CT STE 106",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633048683",
            "telephone_number": "636-344-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HUBER PARK CT STE 106",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633048683",
            "telephone_number": "636-344-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYHOUSE COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BONNER-HORON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "618-292-5957",
        "authorized_official_credential": "LPC, NCC, RPT-S, ACS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.