NPIMap

Organization Active NPI

The Community Counseling & Housing Services

  • Assisted Living Facility (Mental Illness)
  • Saint Louis, MO
National Provider Identifier
1922507516
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
THE COMMUNITY COUNSELING & HOUSING SERVICES
Practice address
8800 Goodfellow Blvd
Saint Louis, MO 63147-1431
Phone
(314) 580-3029
NPI assigned
Feb 8, 2018
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Marvin Shelton, ED.S,ED.D, RADC-PNPI 1003364969
Title
Ceo
Phone
(314) 580-3029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Case Management Agency 251B00000X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Assisted Living Facility 310400000X NU
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X NU
In Home Supportive Care Agency 253Z00000X NU
Managed Care Organization Pharmacy 3336M0003X NU

Addresses

Primary practice location

8800 Goodfellow Blvd
Saint Louis, MO 63147-1431

Mailing address

4166 Lindell Blvd Apt 1B
Saint Louis, MO 63108-2923
Phone (314) 580-3029

Other names 1

  • THE GOODFELLOW HOUSE Other name

National Provider Directory

National Provider Directory
Tax ID family
The Community Counseling Housing Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1922507516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 LINDELL BLVD APT 1B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082923",
            "telephone_number": "314-580-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 GOODFELLOW BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471431",
            "telephone_number": "314-580-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY COUNSELING & HOUSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-580-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.S,ED.D, RADC-P"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GOODFELLOW HOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 17, 2020; 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.