Organization Active NPI

Mental Toughness Counseling & Mentoring

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1902217987
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2008004281 Issued in MO
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

Updated by the provider on May 13, 2014

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.