Jay L. Liss, Incorporated

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JAY L. LISS, INCORPORATED

Practice address

8711 Watson Rd
Suite 100
Saint Louis, MO 63119-5100

Phone

(314) 961-9871

Fax

(314) 961-9877

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Jay L Liss, M.D.NPI 1679584494

Title

President

Phone

(314) 961-9871

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 6

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

• Jay Lawrence Liss, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1679584494
  Medicare reassignment NPD Authorized official
• Gary Becker, LCSW, PHD

  • Mental Health Counselor
  • Olivette, MO
  • NPI 1679635411
  NPD (past)
• Kristine V Eickhoff, PHD

  • Clinical Child & Adolescent Psychologist
  • Saint Louis, MO
  • NPI 1841201696
  NPD (past)
• Sharon M Jackson, LCSW

  • Clinical Social Worker
  • Sullivan, MO
  • NPI 1851462097
  NPD (past)
• Catherine C. Linstead, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1679584395
  NPD (past)
• Radu H Teodorescu, MD

  • Psychiatry Physician
  • Milwaukie, OR
  • NPI 1841279601
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1982777454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 WATSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195100",
            "telephone_number": "314-961-9871",
            "fax_number": "314-961-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 WATSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195100",
            "telephone_number": "314-961-9871",
            "fax_number": "314-961-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY L. LISS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-961-9871",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000015640",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Ali Javed, M.D. FCCP
• Nisma Javed, M.B.B.S.
• Cylen Javidan-Nejad, MD
• Mariah A Javier
• Jay F Hauser DDS PC D/B/a Premier Dental Partners
• Jay Mahadevan Inc
• Patrick Y Jay, MD
• Samrat Jun Jayanth, M.D.
• Ellen Marting Jayaprabhu, LMFT
• Sundeep Jayaprabhu, M.D.

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.