Active NPI
Mental Toughness Counseling & Mentoring
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1902217987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2008004281
- Legal business name
- MENTAL TOUGHNESS COUNSELING & MENTORING
- Practice address
- 12836 Meadowdale Dr
Saint Louis, MO 63138-1527 - Phone
- (314) 749-6030
- NPI assigned
- May 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Isaac Donnell Huddleston, LPC
- Title
- President
- Phone
- (314) 749-6030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2008004281 | MO | Primary |
Addresses
Primary practice location
12836 Meadowdale Dr
Saint Louis, MO 63138-1527
Mailing address
12836 Meadowdale Dr
Saint Louis, MO 63138-1527
Phone (314) 749-6030
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399939200000",
"number": "1902217987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12836 MEADOWDALE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631381527",
"telephone_number": "314-749-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12836 MEADOWDALE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631381527",
"telephone_number": "314-749-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL TOUGHNESS COUNSELING & MENTORING",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A",
"authorized_official_last_name": "HUDDLESTON",
"authorized_official_first_name": "ISAAC",
"authorized_official_middle_name": "DONNELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-749-6030",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2008004281",
"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 May 13, 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.