Organization Active NPI

The Gestalt House LLC

  • Massage Therapist
  • Springfield, MO
National Provider Identifier
1902752389
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THE GESTALT HOUSE LLC
Practice address
629 W Walnut St
Springfield, MO 65806-2045
Phone
(417) 717-8733
NPI assigned
Mar 7, 2026
Last updated
Mar 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Authorized official

Name
Teha Callen, CC, GCM, RMT, EALF
Title
Owner
Phone
(970) 381-3406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

629 W Walnut St
Springfield, MO 65806-2045

Mailing address

629 W Walnut St
Springfield, MO 65806-2045
Phone (417) 717-8733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772841600000",
    "number": "1902752389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 W WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062045",
            "telephone_number": "417-717-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062045",
            "telephone_number": "417-717-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GESTALT HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A",
        "authorized_official_last_name": "CALLEN",
        "authorized_official_first_name": "TEHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-381-3406",
        "authorized_official_credential": "CC, GCM, RMT, EALF"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; 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.