Embodied Healing LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EMBODIED HEALING LLC

Practice address

301 Sovereign CT
Ballwin, MO 63011-4441

Phone

(314) 328-9228

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Koch, LPCNPI 1265978209

Title

Owner/Counselor

Phone

(314) 328-9228

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Koch, PLPC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1265978209
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1962020594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11147 GOLF CREST DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631263447",
            "telephone_number": "314-566-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOVEREIGN CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114441",
            "telephone_number": "314-328-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "314-328-9228",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Missouri, Inc.
• Kristin Ehrhardt
• Alexis Scott Ehrlich
• Tiffany Eikel
• Mahmoud Mohamad Ali El-Sayed, M.D.
• Dennis Earl Enix, D.C., M.B.A.
• Enrich Your Mind Counseling
• Shelby Leigh Epperson, FNP
• Chinonyelum Erokwu, DMD
• Brianna Kay Evans, DC

• Professional Counselor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.