COURTNEY RYDSTROM (NPI# 1851922488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851922488 |
Entity Type | Individual |
Full Name | COURTNEY RYDSTROM |
Credential | MA, LPC, RPT |
Practice Address |
1001 Boardwalk Springs Pl Ste 113 O Fallon MO 63368-4777 |
Mailing Address |
421 Tuxedo Blvd Saint Louis MO 63119-1840 |
Practice Telephone | 3143223229 |
Mailing Telephone | 3143223229 |
Enumeration Date | 2020-02-02 |
Last Update Date | 2020-02-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2017039214 | MO | Behavioral Health & Social Service Providers |
Street Address |
1001 BOARDWALK SPRINGS PL STE 113 |
City | O FALLON |
State | MO |
Zip Code | 63368-4777 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
1770124802 | Lisa N. Greer | Technician | 6911 Brassel Dr., Ofallon, MO 63368 | 2019-09-30 |
1770145716 | Halie Faye Gulley | Dentist | 3009 Hwy K, O'fallon, MO 63368 | 2019-06-29 |
1972079556 | Erin Corsi Fraundorf | Dentist | 3009 State Hwy K, O'fallon, MO 63368 | 2018-10-22 |
1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
1528507472 | Washeck Manual Therapy LLC | Clinic/Center | 3074 Winghaven Blvd, O'fallon, MO 63368 | 2017-02-13 |
1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
1124561469 | Cardinal Home Care LLC | Home Health | 18 Convent Garden Ct, O'fallon, MO 63368 | 2016-11-18 |
1336509272 | Sarah Marie Mudd | Counselor | 1654 Bryan Road, O'fallon, MO 63368 | 2016-03-04 |
1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
Find all providers in zip 63368 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683743 | Nicole Vandelinde | Counselor | 1805 Bowler Rd, O Fallon, IL 62269-7005 | 2020-09-15 |
1225641251 | Brenda French | Counselor | 302 Akoya Ct, O Fallon, MO 63366-4491 | 2020-08-28 |
1619590767 | Amanda Marie Dillard | Counselor | 981 Whitechapel Dr, O Fallon, IL 62269-7270 | 2020-05-23 |
1437610086 | Audrey Gonzalez | Counselor | 1941 Frank Scott Pkwy E Ste C, O Fallon, IL 62269-7387 | 2019-03-27 |
1356716054 | Starrynite Counseling, LLC | Counselor | 8 Eagle Ctr Ste 4, O Fallon, IL 62269-1963 | 2015-12-07 |
1699149161 | Cristine Lou Mason | Counselor | 2940 Wheatfield Farms Dr, O Fallon, MO 63368-7848 | 2015-11-21 |
1205185774 | Amy Christine Ilgenfritz | Counselor | 311 S Main St Ste 100, O Fallon, MO 63366-2807 | 2012-08-30 |
1861769184 | Counseling Associates of Southern Illinois | Counselor | 1669 Windham Way Ste B, O Fallon, IL 62269-3072 | 2011-12-01 |
1952609729 | Sharon Lynn Bass | Counselor | 7116 Twin Chimneys Blvd, O Fallon, MO 63368-8166 | 2011-03-03 |
1013241405 | Lamette Johnstone | Counselor | 1137 N Main St Ste 2, O Fallon, MO 63366-1498 | 2009-10-01 |
Find all providers in O FALLON |
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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.