Active NPI
Deertracks DBT
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1922505478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- DEERTRACKS DBT
- Practice address
- 1715 Deer Tracks TRL Ste 260
Saint Louis, MO 63131-1855 - Phone
- (314) 452-0896
- NPI assigned
- Apr 11, 2018
- 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
- Molly Thomas
- Title
- Administrator
- Phone
- (309) 838-1888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1715 Deer Tracks TRL Ste 260
Saint Louis, MO 63131-1855
Mailing address
709 Perry St
Saint Charles, MO 63301-2945
Phone (309) 838-1888
National Provider Directory
National Provider DirectoryLocations
1715 Deer Tracks Trl
Ste 260
Saint Louis, MO 63131
Phone (314) 452-0896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1922505478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 PERRY ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012945",
"telephone_number": "309-838-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 DEER TRACKS TRL STE 260",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311855",
"telephone_number": "314-452-0896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEERTRACKS DBT",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "MOLLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "309-838-1888"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.