NPIMap

Organization Active NPI

Soulard Place LLC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1710697404
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOULARD PLACE LLC
Practice address
1300 Hampton Ave Ste 200
Saint Louis, MO 63139-3163
Phone
(314) 970-2544
Fax
(314) 787-4285
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Joseph Schlichter
Title
Owner
Phone
(314) 970-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1300 Hampton Ave Ste 200
Saint Louis, MO 63139-3163

Mailing address

1300 Hampton Ave Ste 200
Saint Louis, MO 63139-3163
Phone (314) 970-2544

Other names 1

  • Ember Mental Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240516003021 MO Part B Supplier - Clinic/Group Practice 3870934193 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1300 Hampton Ave
Ste 200
Saint Louis, MO 63139
Phone (314) 461-0226

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1710697404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HAMPTON AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393163",
            "telephone_number": "314-970-2544",
            "fax_number": "314-787-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HAMPTON AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393163",
            "telephone_number": "314-970-2544",
            "fax_number": "314-787-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULARD PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "SCHLICHTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-970-2544"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ember Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.