Jaks Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JAKS COUNSELING SERVICES

Practice address

309 Claymont Dr
Ballwin, MO 63011-2559

Phone

(314) 518-9207

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Reva C Faber, MSMHC

Title

Executive Director

Phone

(314) 518-9207

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1831450089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CLAYMONT DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112559",
            "telephone_number": "314-518-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CLAYMONT DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112559",
            "telephone_number": "314-518-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "REVA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-518-9207",
        "authorized_official_credential": "MSMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Irwin, LPC
• Annette Israel
• Rasha Issou
• Viktoriya V. Ivantsova, PMHNP-BC
• Margaret Kathleen Jackson, M.S., CCCSLP
• James H Stanford DDS PC
• Adam David James
• Jensen Health Enterprises
• Anna Lisa Jensen, LPC, NCC
• Kacy Layne Jetton, PHARM D

• Community/Behavioral Health Agency in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.