Organization Active NPI

Global Health Behavioral and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • O Fallon, MO
National Provider Identifier
1689368474
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GLOBAL HEALTH BEHAVIORAL AND WELLNESS LLC
Practice address
1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777
Phone
(636) 675-1979
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Chidochomoyo ZvirawaNPI 1790344968
Title
Owner
Phone
(636) 675-9799

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Multi-Specialty Clinic/Center 261QM1300X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777

Mailing address

1001 Boardwalk Springs PL Ste 111
O Fallon, MO 63368-4777
Phone (636) 675-1979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231211003017 MO Part B Supplier - Clinic/Group Practice 6709235112 Receives reassigned benefits from 1 practitioner
Practice locations: O Fallon, MO; Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1001 Boardwalk Springs Pl
Ste 111
O Fallon, MO 63368
Phone (636) 362-6343

745 Craig Rd
Ste 301A
Saint Louis, MO 63141
Phone (314) 439-1290

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1689368474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BOARDWALK SPRINGS PL STE 111",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684777",
            "telephone_number": "636-675-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BOARDWALK SPRINGS PL STE 111",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684777",
            "telephone_number": "636-675-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL HEALTH BEHAVIORAL AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "ZVIRAWA",
        "authorized_official_first_name": "CHIDOCHOMOYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-675-9799"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.