NPIMap

Organization Active NPI

St. Louis Behavioral Medicine Institute Inc

Doing business as St Louis Behavioral Medicine Institute

  • Mental Health Counselor
  • Fairview Heights, IL
National Provider Identifier
1952169179
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE INC
Doing business as
St Louis Behavioral Medicine Institute
Practice address
331 Salem Place Ste 225a
Fairview Executive Plaza II
Fairview Heights, IL 62208
Phone
(618) 825-0051
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Steve Filton
Title
Vice President
Phone
(610) 768-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Counseling Psychologist 103TC1900X NU

Addresses

Primary practice location

331 Salem Place Ste 225a
Fairview Executive Plaza II
Fairview Heights, IL 62208

Mailing address

1129 Macklind Ave
Saint Louis, MO 63110-1440
Phone (314) 881-3446

Other names 1

  • St Louis Behavioral Medicine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510000309 IL Part B Supplier - Clinic/Group Practice 3173428638 Receives reassigned benefits from 1 practitioner
Practice locations: Fairview Heights, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Saint Louis Behavioral Medicine Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

331 Salem Pl
Ste 225A
Fairview Heights, IL 62208
Phone (618) 825-0051

16216 Baxter Rd
Ste 225
Chesterfield, MO 63017
Phone (636) 532-9188

1129 Macklind Ave
Saint Louis, MO 63110
Phone (314) 534-0200

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1952169179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MACKLIND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101440",
            "telephone_number": "314-881-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SALEM PLACE STE 225A",
            "address_2": "FAIRVIEW EXECUTIVE PLAZA II",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "618-825-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS BEHAVIORAL MEDICINE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Louis Behavioral Medicine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.