NPIMap

Organization Active NPI

Grounded Life Therapy Solutions

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1699495598
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GROUNDED LIFE THERAPY SOLUTIONS
Practice address
2451 Executive Dr Ste 205
Saint Charles, MO 63303-5606
Phone
(636) 428-8802
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Jamie Fitterer, LPCNPI 1831444116
Title
Owner
Phone
(636) 542-8802

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2451 Executive Dr Ste 205
Saint Charles, MO 63303-5606

Mailing address

3412 Pierland Dr
Pocahontas, IL 62275-1524

National Provider Directory

National Provider Directory

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": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1699495598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 PIERLAND DR",
            "city": "POCAHONTAS",
            "state": "IL",
            "postal_code": "622751524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 EXECUTIVE DR STE 205",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035606",
            "telephone_number": "636-428-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED LIFE THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "FITTERER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-542-8802",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.