Christian Counseling of St. Louis,LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHRISTIAN COUNSELING OF ST. LOUIS,LLC

Practice address

12015 Manchester Rd Ste 137
Saint Louis, MO 63131-4417

Phone

(314) 374-5000

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By 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

Kelly Diller, LPC, MACNPI 1366707226

Title

Counselor & Owner

Phone

(314) 374-5000

Specialties & licenses 1

Addresses

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.

• Kelly Diller, LPC, MAC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1366707226
  NPD (past) Authorized official

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1871067678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BANSBACH RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 MANCHESTER RD STE 137",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314417",
            "telephone_number": "314-374-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING OF ST. LOUIS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "DILLER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COUNSELOR & OWNER",
        "authorized_official_telephone_number": "314-374-5000",
        "authorized_official_credential": "LPC, MAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Vaughn Christensen, MD
• Katherine Monica Christensen, M.S.
• Keegan Alex Christensen, MD
• Robin Renee Christensen, OTR L
• Christian Counseling and Resource Consultants,LLC
• Christian Faith Ctr Adult Health Daycare
• Christian Family Services, Inc
• Christian Hospital
• Christian Hospital Northeast
• Christian Hospital Northeast Northwest

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.