Duck Falls Counseling and Wellness LLC

Primary specialty

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

Legal business name

DUCK FALLS COUNSELING AND WELLNESS LLC

Practice address

1018 Country Club Rd
Saint Charles, MO 63303-3364

Phone

(314) 471-4445

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Nicole Frances Vinciguerra, LCSWNPI 1407321854

Title

Ceo, Therapist

Phone

(314) 471-4445

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Nicole Frances Vinciguerra

  • Social Worker
  • Saint Louis, MO
  • NPI 1407321854
  NPD Authorized official

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1811655913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 COUNTRY CLUB RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033364",
            "telephone_number": "314-471-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 COUNTRY CLUB RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033364",
            "telephone_number": "314-471-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCK FALLS COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "VINCIGUERRA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "CEO, THERAPIST",
        "authorized_official_telephone_number": "314-471-4445",
        "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
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Dumas
• Shevon Dungins, REGISTERED NURSE
• Evan Dunklee, LAT, ATC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Charles, MO
• Providers in Saint Charles, 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 Dec 6, 2021; 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.