A Safe Space Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A SAFE SPACE COUNSELING

Practice address

9666 Olive Blvd Ste 370
Saint Louis, MO 63132-3025

Phone

(217) 778-5260

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Yue Tan, LCSWNPI 1841980919

Title

Psychotherapist

Phone

(217) 778-5260

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yue Tan

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1841980919
  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1740009554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 370",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323025",
            "telephone_number": "217-778-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 370",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323025",
            "telephone_number": "217-778-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE SPACE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "YUE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "217-778-5260",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.