Organization Active NPI

Synchronicity Counseling Solutions LLC

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1871919282
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2014004402 Issued in MO
Legal business name
SYNCHRONICITY COUNSELING SOLUTIONS LLC
Practice address
2702 Macklind Ave
Saint Louis, MO 63139-1406
Phone
(314) 252-0174
Fax
(314) 219-4591
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Jason Eccker, MSW LCSWNPI 1144660473
Title
Owner
Phone
(314) 252-0174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2014004402 MO Primary

Addresses

Primary practice location

2702 Macklind Ave
Saint Louis, MO 63139-1406

Mailing address

3232 Clifton Ave Unit 5177
Saint Louis, MO 63139-4004
Phone (314) 252-0174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140917001012 MO Part B Supplier - Clinic/Group Practice 6709005184 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1902 Arsenal St
Ste 240
Saint Louis, MO 63118
Phone (314) 252-0174

2702 Macklind Ave
Saint Louis, MO 63139
Phone (314) 252-0174

3232 Clifton Ave
Unit 5177
Saint Louis, MO 63139

1900 Arsenal St
Ste 240
Saint Louis, MO 63118
Phone (314) 252-0174

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1871919282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 CLIFTON AVE UNIT 5177",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631394004",
            "telephone_number": "314-252-0174",
            "fax_number": "314-219-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 MACKLIND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391406",
            "telephone_number": "314-252-0174",
            "fax_number": "314-219-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONICITY COUNSELING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "ECCKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-252-0174",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2014004402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.