Kidney Wellcare & Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KIDNEY WELLCARE & COUNSELING LLC

Practice address

9666 Olive Blvd Ste 205
Olivette, MO 63132-3025

Phone

(614) 425-2604

NPI assigned

Oct 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Barron E Rutledge, LCSW

Title

Ceo/Owner

Phone

(614) 425-2604

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1669070892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13439 FORESTLAC DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416005",
            "telephone_number": "614-425-2604",
            "fax_number": "636-216-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 205",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631323025",
            "telephone_number": "614-425-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY WELLCARE & COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "BARRON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "614-425-2604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronni Michele Kahn, PH D
• Hiba Kamel, DMD
• Andrew Kendall, DPT
• Patricia Kennedy, LPC
• Alexis Rae Keppler
• Olivia Kathryn-Kim King
• Marin Kinsella
• Kirpa LLC
• Olivia Paige Knoll
• Courtney Kruis, RBT

• Clinical Social Worker in Olivette, MO
• Providers in Olivette, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.