Jon-Pierre Mitchom, L.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2015014117 Issued in MO

Practice address

3811 Blaine Ave FL 1
Saint Louis, MO 63110-2607

Phone

(314) 690-9433

NPI assigned

Sep 25, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberate Learning Institute

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1467802322

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1699284398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 MCREE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102619",
            "telephone_number": "314-690-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 BLAINE AVE FL 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102607",
            "telephone_number": "314-690-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHOM",
        "first_name": "JON-PIERRE",
        "credential": "L.P.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2015014117",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015014117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Mitchell
• William A. Mitchell III, M.D.
• Zachary Allen Mitchell, DO
• Andrew Mitchelson, M.D.
• Jonathan B Mitchem, M.D.
• Mithen Neurology LLC
• Francis Andrew Mithen, MD, PHD
• Mesfin Teshome Mitike, M.D.
• Simran Mittal, MD
• Dylan John Mittauer

• 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 Sep 25, 2017; 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.