Active NPI
Charlie Butler
- Case Management Agency
- Saint Louis, MO
National Provider Identifier
1992495337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 12747 Olive Blvd Ste 300
Saint Louis, MO 63141-6269 - Phone
- (786) 826-1691
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Miami, FL
- NPI 1225886955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Always a Second Chance Wellness Center | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12747 Olive Blvd Ste 300
Saint Louis, MO 63141-6269
Mailing address
12747 Olive Blvd Ste 300
Saint Louis, MO 63141-6269
Phone (786) 826-1691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2023.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1992495337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12747 OLIVE BLVD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416269",
"telephone_number": "786-826-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12747 OLIVE BLVD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416269",
"telephone_number": "786-826-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "CHARLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"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 May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.