MIDWEST TRAUMA RECOVERY CENTER (NPI# 1033677257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033677257 |
| Entity Type | Organization |
| Organization Name | MIDWEST TRAUMA RECOVERY CENTER |
| Practice Address |
1034 S Brentwood Blvd Ste 555 Saint Louis MO 63117-1265 |
| Mailing Address |
3611 Westport Dr Saint Charles MO 63303-6332 |
| Practice Telephone | 3143849748 |
| Mailing Telephone | 3143849748 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | KRYSTAL MARIE SCHUETTE (THERAPIST) |
| Authorized Official Telephone | 3143849748 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1034 S BRENTWOOD BLVD STE 555 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053691444 | Sandra Eileen Miller | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2011-08-17 |
| 1245850056 | Phoenix Behavioral Health | Counselor | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2020-04-22 |
| 1366077232 | Healers Hive | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2020-03-11 |
| 1922570050 | Innerstrength Counseling, LLC | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2018-12-31 |
| 1043782261 | William Mccadden | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2018-12-28 |
| 1457823759 | Jessica P Varner | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2018-12-26 |
| 1245710250 | The Whole You Wellness and Counseling Center LLC | Clinic/Center | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 | 2018-08-19 |
| 1104318476 | Michelle Dawn Roberts | Counselor | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2018-06-03 |
| 1639684921 | Mekeya Jama | Social Worker | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 | 2017-12-07 |
| 1255843298 | Bridget Marie Kiely | Counselor | 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117-1265 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377673 | Ubuntu Counseling LLC | Clinic/Center | 8400 Atherton Dr Apt 2s, Saint Louis, MO 63130-1001 | 2020-08-19 |
| 1720573504 | Advance Health Social Services Inc | Clinic/Center | 2601 Whittier St Ste 3, Saint Louis, MO 63113-2959 | 2018-06-25 |
| 1407365216 | Amb Consulting Counseling and Wellness Center LLC | Clinic/Center | 1515 N Warson Rd Ste 121, Saint Louis, MO 63132-1108 | 2017-09-25 |
| 1497274211 | Global Counseling Network | Clinic/Center | 3115 S Grand Blvd Ste 400, Saint Louis, MO 63118-1048 | 2017-09-13 |
| 1720503642 | Love and Laughter Adult Day Care | Clinic/Center | 10134 Baron Dr, Saint Louis, MO 63136-5510 | 2017-08-11 |
| 1811011505 | Hopewell Center | Clinic/Center | 1504 S Grand Blvd, Saint Louis, MO 63104-1304 | 2007-03-19 |
| 1922016146 | Family Support Network | Clinic/Center | 7514 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-08-03 |
| 1821019936 | Centrec Care | Clinic/Center | 1224 Fern Ridge Pkwy, Suite 305, Saint Louis, MO 63141-4404 | 2006-07-22 |
| 1477170041 | Curious Counselor LLC | Clinic/Center | 5595 Page Blvd, Saint Louis, MO 63112-4118 | 2020-06-30 |
| 1669093324 | Kathryn Bohn LLC | Clinic/Center | 8000 Bonhomme Ave Ste 406, Saint Louis, MO 63105-3515 | 2020-05-04 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on MIDWEST TRAUMA RECOVERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.