Kibou Counseling Services International LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2008031874 Issued in MO

Legal business name

KIBOU COUNSELING SERVICES INTERNATIONAL LLC

Doing business as

Kibouc Counseling and Mentoring Services International LLC

Practice address

201 S Skinker Blvd
Saint Louis, MO 63105-2317

Phone

(314) 520-8167

NPI assigned

Feb 6, 2013

Last updated

Feb 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amyruth Gregory Bartlett, LLCNPI 1891960605

Title

Owner/Member/Therapist

Phone

(314) 520-8167

Specialties & licenses 1

Addresses

Other names 1

• Kibouc Counseling and Mentoring Services International LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amyruth Gregory Bartlett, M.A.

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1891960605
  NPD (past) Authorized official

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1861731259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 MURDOCH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092944",
            "telephone_number": "314-520-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S SKINKER BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052317",
            "telephone_number": "314-520-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIBOU COUNSELING SERVICES INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "AMYRUTH",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/MEMBER/THERAPIST",
        "authorized_official_telephone_number": "314-520-8167",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2008031874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kibouc Counseling and Mentoring Services International LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moh'D M TH Khushman, MD
• Benjamin Kiaei, MD
• Thomas B Kibby, MD
• Salome O Kibii, DO
• Sana Kiblinger, MD
• Jean Kiburz, PCNS
• Andrew Brian Kichura, M.D.
• Daniel J Kichura, MD
• George M Kichura, M.D.
• Allie Elizabeth Kidd, MD

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, 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 Feb 6, 2013; 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.