NPIMap

Organization Active NPI

Andrew Zemcuznikov, LLC

Doing business as Saint Louis Counseling & Biofeedback

  • Clinical Social Worker
  • Creve Coeur, MO
National Provider Identifier
1699153353
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000129 Issued in MO
Legal business name
ANDREW ZEMCUZNIKOV, LLC
Doing business as
Saint Louis Counseling & Biofeedback
Practice address
12400 Olive Blvd
Suite 205
Creve Coeur, MO 63141-5454
Phone
(314) 537-5035
Fax
(636) 517-1176
NPI assigned
May 14, 2015
Last updated
Oct 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Andrew ZemcuznikovNPI 1649689837
Title
LCSW/Owner
Phone
(314) 537-5035

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
Clinical Social Worker 1041C0700X 000129 MO Primary

Addresses

Primary practice location

12400 Olive Blvd
Suite 205
Creve Coeur, MO 63141-5454

Mailing address

12400 Olive Blvd
Suite 205
Creve Coeur, MO 63141-5454
Phone (314) 537-5035

Other names 1

  • Saint Louis Counseling & Biofeedback Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150605002101 MO Part B Supplier - Clinic/Group Practice 7214258987 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

11457 Olde Cabin Rd
Ste 345
Saint Louis, MO 63141
Phone (314) 249-6813

12400 Olive Blvd
Ste 205
Saint Louis, MO 63141
Phone (314) 275-2300

Practitioners & affiliated clinicians

Practitioners 3

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": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1699153353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 OLIVE BLVD",
            "address_2": "SUITE 205",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415454",
            "telephone_number": "314-537-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 OLIVE BLVD",
            "address_2": "SUITE 205",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415454",
            "telephone_number": "314-537-5035",
            "fax_number": "636-517-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW ZEMCUZNIKOV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "ZEMCUZNIKOV",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "314-537-5035"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "000129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Louis Counseling & Biofeedback",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.