Organization Active NPI

Deertracks DBT

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1922505478
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Apr 11, 2018

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.