NATIONAL MENTOR SERVICES, LLC (NPI# 1235775248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235775248 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR SERVICES, LLC |
| Practice Address |
11872 Westline Industrial Dr Ste 180 Saint Louis MO 63146-3331 |
| Mailing Address |
6067 Mexico Rd Saint Peters MO 63376-1648 |
| Practice Telephone | 3149917944 |
| Mailing Telephone | 6366850804 |
| Mailing Fax Number | 6366850805 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | MORGAN KEENCE (BCBA) |
| Authorized Official Telephone | 3149917944 |
| Is Organization Subpart | Y |
| Parent Organization Name | NATIONAL MENTOR SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Missouri Mentor | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6067 Mexico Rd, Saint Peters, MO 633761648 | 6366850804 | 6366850805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427246669 | National Mentor Services, LLC | Case Management | 1923 Belt Way Dr, Saint Louis, MO 63114-5825 | 2007-10-12 |
| 1194146340 | National Mentor Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9375 Dielman Industrial Dr, Olivette, MO 63132-2212 | 2013-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | National Mentor Services, LLC | 313 Congress St., 5th Floor, Boston, MA 02210 |
| Oregon Corporations, Companies and Business Names | NATIONAL MENTOR SERVICES, LLC | 313 Congress St 5th Floor, Boston, MA 02210 |
| Indiana Business Entities | NATIONAL MENTOR SERVICES, LLC | 313 Congress St, 5th Floor, Boston, MA 02210 |
| Street Address |
11872 WESTLINE INDUSTRIAL DR STE 180 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63146-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114317500 | Morgan Keence | Behavioral Analyst | 11872 Westline Industrial Dr Ste 180, Saint Louis, MO 63146-3331 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553118 | Chelsea Ann Garbs | Nurse Practitioner | 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 | 2020-09-17 |
| 1538790647 | Supreme Quality Care LLC | Home Health | 111 West Port Plaza, Floor 6, Maryland Heights, MO 63146 | 2020-01-28 |
| 1942854492 | Winning Hands Home Health Care Services LLC | In Home Supportive Care | 12738 Fee Fee Rd, Saint Louis, MO 63146 | 2019-08-01 |
| 1144883893 | Tylians T Smith | Physical Therapy Assistant | 12544 Fee Fee Rd, Saint Louis, MO 63146 | 2019-04-18 |
| 1528533049 | Veterans Home Care, LLC | Durable Medical Equipment & Medical Supplies | 11861 Westline Industrial Drive, Suite 750, St. Louis, MO 63146 | 2018-10-11 |
| 1417433558 | Alexandria Marie Falck | Pharmacist | 577 Mid Rivers Mall Drive, Saint Louis, MO 63146 | 2018-07-12 |
| 1043702897 | Equal Shares Parenting, LLC | Marriage & Family Therapist | 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 | 2018-06-06 |
| 1588189930 | Anita Shawke | Physical Therapist | 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 | 2017-08-07 |
| 1174047005 | Midwest Spine & Injury Centers, Inc. | Chiropractor | 2108 Schuetz Road, Maryland Heights, MO 63146 | 2017-08-02 |
| 1447700604 | Compassus Op of Missouri LLC | Hospice Care, Community Based | 11872 Westline Industrial Dr Ste 160, Saint Louis, MO 63146 | 2016-10-11 |
| Find all providers in zip 63146 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828906 | Davis Nicole Norber | Behavioral Analyst | 2 Stacy Dr, Saint Louis, MO 63132-4120 | 2020-10-14 |
| 1598375065 | Heather Ann Kulash | Behavioral Analyst | 3207 Halliday Ave Apt 2e, Saint Louis, MO 63118-1264 | 2020-08-08 |
| 1972135606 | Emergent Learning, LLC | Behavioral Analyst | 2055 Craigshire Rd Ste 390, Saint Louis, MO 63146-4028 | 2020-02-11 |
| 1184268963 | Zenia Ann Roberts | Behavioral Analyst | 1694 S Mason Rd, Saint Louis, MO 63131-1215 | 2019-11-04 |
| 1184272072 | Arkila 360 Degrees Counseling and Consulting Services | Behavioral Analyst | 1400 Russell Blvd, Saint Louis, MO 63104-4384 | 2019-09-03 |
| 1164982054 | Anna Hastings | Behavioral Analyst | 5356 Vernon Ave, Saint Louis, MO 63112-3312 | 2019-03-25 |
| 1659835056 | Antonia Raye Stillpass | Behavioral Analyst | 7522 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2019-01-30 |
| 1316417785 | Shiquita Lynne Lane | Behavioral Analyst | 520 Elizabeth Dr, Saint Louis, MO 63119-4240 | 2018-11-28 |
| 1215459722 | Matthew Page | Behavioral Analyst | 4000 Healy Ct, Saint Louis, MO 63123-7743 | 2017-07-17 |
| 1295261048 | Establishing Interactions | Behavioral Analyst | 6190 Washington Blvd, Saint Louis, MO 63112-1208 | 2017-05-11 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63146 |
Please comment or provide details below to improve the information on NATIONAL MENTOR SERVICES, LLC.
| 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.