Organization Active NPI

Guided Solutions Counseling & Mediation, LLC

  • Professional Counselor
  • Festus, MO
National Provider Identifier
1891190773
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012014744 Issued in MO
Legal business name
GUIDED SOLUTIONS COUNSELING & MEDIATION, LLC
Practice address
1170A E Gannon Dr
Festus, MO 63028-2636
Phone
(314) 602-3968
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Heather D Martin, M.ED, LPC
Title
Owner
Phone
(314) 602-3968

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 2012014744 MO
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 2014014744 MO
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2014014744 MO
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2012014744 MO Primary

Addresses

Primary practice location

1170A E Gannon Dr
Festus, MO 63028-2636

Mailing address

1170A E Gannon Dr
Festus, MO 63028-2636
Phone (314) 602-3968

National Provider Directory

National Provider Directory

Locations

1170A E Gannon Dr
Festus, MO 63028
Phone (636) 322-2225

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1891190773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170A E GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282636",
            "telephone_number": "314-602-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170A E GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282636",
            "telephone_number": "314-602-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED SOLUTIONS COUNSELING & MEDIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-602-3968",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MO",
            "license": "2012014744",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2014014744",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2014014744",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012014744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.