KIBOU COUNSELING SERVICES INTERNATIONAL LLC (NPI# 1861731259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861731259 |
| Entity Type | Organization |
| Organization Name | KIBOU COUNSELING SERVICES INTERNATIONAL LLC |
| Other Organization Name | KIBOUC COUNSELING AND MENTORING SERVICES INTERNATIONAL LLC |
| Practice Address |
201 S Skinker Blvd Saint Louis MO 63105-2317 |
| Mailing Address |
4921 Murdoch Ave Saint Louis MO 63109-2944 |
| Practice Telephone | 3145208167 |
| Mailing Telephone | 3145208167 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |
| Authorized Official Name | AMYRUTH GREGORY BARTLETT (OWNER/MEMBER/THERAPIST) |
| Authorized Official Telephone | 3145208167 |
| Authorized Official Credential | LLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2008031874 | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Kibouc Counseling and Mentoring Services International LLC | Doing Business As Name - Organization |
| Street Address |
201 S SKINKER BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63105-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891960605 | Amyruth Gregory Bartlett | Counselor | 201 S Skinker Blvd, Saint Louis, MO 63105-2317 | 2008-04-23 |
| 1235772617 | Legacy Counseling & Consulting Services LLC | Clinic/Center | 201 S Skinker Blvd, Saint Louis, MO 63105-2317 | 2019-10-18 |
| 1730649906 | Angela Tate | Counselor | 201 S Skinker Blvd, Saint Louis, MO 63105-2317 | 2019-03-22 |
| 1336403880 | Dawn Jones | Counselor | 201 S Skinker Blvd, Saint Louis, MO 63105-2317 | 2012-06-29 |
| 1184909418 | Carol A Krentz | Counselor | 201 S Skinker Blvd, Saint Louis, MO 63105-2317 | 2011-10-18 |
| 1043532245 | Katherine Elizabeth Early | Counselor | 201 S Skinker Blvd, Saint Louis, MO 63105-2317 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016545 | Amy Piontek | Registered Nurse | Habif Health and Wellness Center, 6643 Shepley Drive, St. Louis, MO 63105 | 2020-05-29 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1720576663 | St. Louis Center for Cognitive Health, LLC | Clinic/Center | 7711 Bonhomme Ave Ste 350, Clayton, MO 63105 | 2018-04-26 |
| 1457849317 | A Storied Life Counseling LLC | Social Worker | 8000 Bonhomme Ave Ste 321, Clayton, MO 63105 | 2018-04-26 |
| 1669984142 | Peter Bogart | Counselor | 7710 Carondelet, Suite #204, Saint Louis, MO 63105 | 2017-10-24 |
| 1356891162 | Medical West Respiratory Pharmacy, LLC | Pharmacy | 440 South Brentwood Blvd, Clayton, MO 63105 | 2016-10-05 |
| 1710435565 | James Breihan | Occupational Therapist | 401 Corporate Park Drive, Clayton, MO 63105 | 2016-09-21 |
| 1730566928 | Frank Theus | Counselor | 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 | 2015-04-27 |
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1861814261 | Jesse Marie Civello | Physical Therapist | 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 | 2014-01-20 |
| Find all providers in zip 63105 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398329 | Walking Each Other Home Wellness LLC | Community/Behavioral Health | 5149 Dresden Ave, Saint Louis, MO 63116-1325 | 2020-08-24 |
| 1487271839 | Irma Hagarty Counseling Services LLC | Community/Behavioral Health | 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 | 2020-07-01 |
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1508422858 | Patient Advocacy and Education | Community/Behavioral Health | 7006 Woodbridge Creek Ct, Saint Louis, MO 63129-6419 | 2019-05-13 |
| 1154985711 | Chads Coalition for Mental Health | Community/Behavioral Health | 4121 Union Rd Ste 224, Saint Louis, MO 63129-1070 | 2019-04-29 |
| 1104382118 | Vine Life Counseling | Community/Behavioral Health | 2310 S Grand Blvd, Saint Louis, MO 63104-1702 | 2019-02-14 |
| 1831663848 | Latitude Therapy Solutions LLC | Community/Behavioral Health | 8130 Balson Ave, Saint Louis, MO 63130-3607 | 2019-01-14 |
| 1700376423 | Bell Therapeutic Services | Community/Behavioral Health | 4125 Humphrey St, Saint Louis, MO 63116-3824 | 2018-05-17 |
| 1568990505 | Tyree Edward Miller Behavioral Health Services | Community/Behavioral Health | 2829 Gainsboro Ct, Saint Louis, MO 63121-4717 | 2017-06-02 |
| 1316485832 | Reach Out Consulting LLC | Community/Behavioral Health | 5158 Suson Way Ct, Saint Louis, MO 63128-4531 | 2017-02-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63105 |
Please comment or provide details below to improve the information on KIBOU COUNSELING SERVICES INTERNATIONAL 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.