Organization Active NPI

Missouri Mental Health Network

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1770416885
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MISSOURI MENTAL HEALTH NETWORK
Practice address
550 S Clay Ave Apt 3a
Saint Louis, MO 63122-5964
Phone
(314) 702-0603
NPI assigned
Jun 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Mr. Robert Joseph Grayson Jr.
Title
President
Phone
(314) 702-0603

Specialties & licenses 1

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

Addresses

Primary practice location

550 S Clay Ave Apt 3a
Saint Louis, MO 63122-5964

Mailing address

550 S Clay Ave Apt 3a
Saint Louis, MO 63122-5964
Phone (314) 702-0603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1770416885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S CLAY AVE APT 3A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225964",
            "telephone_number": "314-702-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S CLAY AVE APT 3A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225964",
            "telephone_number": "314-702-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI MENTAL HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-07",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-702-0603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 2026; 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.