KINTS LLC (NPI# 1336772912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336772912 |
| Entity Type | Organization |
| Organization Name | KINTS LLC |
| Practice Address |
2117 Bentley Plz Fenton MO 63026-2124 |
| Mailing Address |
1818 Kehrs Mill Rd Wildwood MO 63005-6539 |
| Practice Telephone | 5736390057 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | DR. TEIDE BRISIBE EHIMARE (OWNER) |
| Authorized Official Telephone | 5736390057 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
2117 BENTLEY PLZ |
| City | FENTON |
| State | MO |
| Zip Code | 63026-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497738785 | Victoria L Allen | Neuromusculoskeletal Medicine & OMM | 2117 Bentley Plz, Fenton, MO 63026-2124 | 2005-11-21 |
| 1952943144 | Courtney Haas | Nurse Practitioner | 2117 Bentley Plz, Fenton, MO 63026-2124 | 2019-10-09 |
| 1801450713 | Laura Salter | Social Worker | 2117 Bentley Plz, Fenton, MO 63026-2124 | 2019-04-25 |
| 1689238586 | Delta Health | Clinic/Center | 2117 Bentley Plz, Fenton, MO 63026-2124 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545692 | Mindfulness Journey Counseling Pllc | Clinic/Center | 8406 Mabley Hill Rd, Fenton, MI 48430-9454 | 2019-08-26 |
| 1104257807 | Marcio Guzman | Clinic/Center | 1855 Bowles Ave, Suite 210, Fenton, MO 63026-1900 | 2013-12-05 |
| 1619112620 | Mcdonald & Kimball Plc | Clinic/Center | 129 N River St, Fenton, MI 48430-3800 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484599 | Institute of Intrapersonal Development, LLC | Clinic/Center | 1872 Woodhollow Drive, Apt. 211, Maryland Heights, MO 63043-3957 | 2020-10-13 |
| 1740813096 | Hotel California By The Sea St. Louis, LLC | Clinic/Center | 333 S Kirkwood Rd Ste 303, Kirkwood, MO 63122-6161 | 2020-02-14 |
| 1659832079 | Metro Neurohealth LLC | Clinic/Center | 3641 Meadowglen Ct, Saint Charles, MO 63303-6678 | 2019-03-28 |
| 1013472703 | Teresa L Deshields Phd LLC | Clinic/Center | 225 S Meramec Ave Ste 432t, Clayton, MO 63105-3597 | 2019-02-06 |
| 1497226328 | Butler Psychological Services, LLC | Clinic/Center | 13532 Lawrence 1127, Mount Vernon, MO 65712-7504 | 2018-12-17 |
| 1710425236 | Beaconstar Counseling, LLC | Clinic/Center | 3032 S Fremont Ave, Suite C200, Springfield, MO 65804-4210 | 2017-02-03 |
| 1689111379 | Mindfully Whole Psychotherapy LLC | Clinic/Center | 4057 W Ildereen St, Springfield, MO 65807-1063 | 2017-01-19 |
| 1760839260 | Independence Center | Clinic/Center | 4245 Forest Park Ave, Saint Louis, MO 63108-2810 | 2016-05-16 |
| 1912361627 | New Horizons Community Support Services, Inc. | Clinic/Center | 2013 William St, Jefferson City, MO 65109-4771 | 2016-04-08 |
| 1780069161 | Iqbal Psychiatry | Clinic/Center | 1015 Grupp Rd Unit 31035, Saint Louis, MO 63131-5002 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KINTS 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.