EUREKA PLAY THERAPY (NPI# 1154922292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154922292 |
| Entity Type | Organization |
| Organization Name | EUREKA PLAY THERAPY |
| Practice Address |
208 N Central Ave Ste D Eureka MO 63025-1850 |
| Practice Telephone | 3144670556 |
| Mailing Telephone | 3144670556 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | WENDY VELICER (OWNER) |
| Authorized Official Telephone | 3144670556 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
208 N CENTRAL AVE STE D |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837921 | Wendy Velicer | Counselor | 208 N Central Ave Ste D, Eureka, MO 63025-1850 | 2020-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354781 | Community Treatment Inc | Clinic/Center | 106 N Mill St, Festus, MO 63028-1816 | 2020-10-19 |
| 1962025072 | Empowering Transformations, LLC | Clinic/Center | 5842 Walsh St, Saint Louis, MO 63109-3120 | 2020-05-22 |
| 1548895790 | Ozark Trails Youth Services | Clinic/Center | 40840 Cr Rd 181-280, Willow Springs, MO 65793-6579 | 2020-03-09 |
| 1366076721 | Midwest Psychological Services, LLC | Clinic/Center | 220 W Argonne Dr Ste B, Kirkwood, MO 63122-4237 | 2020-02-25 |
| 1851860209 | Preferred Family Healthcare, Inc | Clinic/Center | 3300 S National Ave Ste 500, Springfield, MO 65807-7343 | 2018-11-15 |
| 1548759251 | Stacey Juengst Counseling Services | Clinic/Center | 1000 Edgewater Point Drive, Suite 401, Lake Saint Louis, MO 63367-2954 | 2018-05-08 |
| 1982129722 | Solid Ground Counseling Services, LLC | Clinic/Center | 2515 W Allen Dr, Springfield, MO 65810-1300 | 2017-08-12 |
| 1740714823 | Storge LLC | Clinic/Center | 7114 Vernon Ave, University City, MO 63130-2301 | 2017-04-17 |
| 1437527314 | Emotional Health Therapy | Clinic/Center | 7730 Carondelet Ave, Suite 307, Saint Louis, MO 63105-3314 | 2015-09-09 |
| 1114055076 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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| 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.