Organization Active NPI

Happy Brain Counseling, L.L.C.

  • Professional Counselor
  • Kirkwood, MO
National Provider Identifier
1821412537
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2009029405 Issued in MO
Legal business name
HAPPY BRAIN COUNSELING, L.L.C.
Practice address
12166 Old Big Bend Rd
Suite 102
Kirkwood, MO 63122-6844
Phone
(314) 717-0190
Fax
(314) 754-7275
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Camille Bruton Reinhold, LPC
Title
President, Owner
Phone
(314) 717-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2009029405 MO Primary

Addresses

Primary practice location

12166 Old Big Bend Rd
Suite 102
Kirkwood, MO 63122-6844

Mailing address

12166 Old Big Bend Rd
Suite 102
Kirkwood, MO 63122-6844
Phone (314) 717-0190

Other identifiers 1

IdentifierTypeStateIssuer
1023342086MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1821412537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD",
            "address_2": "SUITE 102",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226844",
            "telephone_number": "314-717-0190",
            "fax_number": "314-754-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD",
            "address_2": "SUITE 102",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226844",
            "telephone_number": "314-717-0190",
            "fax_number": "314-754-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY BRAIN COUNSELING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "BRUTON REINHOLD",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "314-717-0190",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009029405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023342086",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.