AGAPE COUNSELING SERVICE INC (NPI# 1003062936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003062936 |
| Entity Type | Organization |
| Organization Name | AGAPE COUNSELING SERVICE INC |
| Other Organization Name | AGAPE COUNSELING SERVICE |
| Practice Address |
4144 Lindell Blvd Suite 402 St Louis MO 63108 |
| Mailing Address |
1569 Quendo Avenue St Louis MO 63130-1419 |
| Practice Telephone | 3145311601 |
| Practice Fax Number | 3147271921 |
| Mailing Telephone | 3147277277 |
| Mailing Fax Number | 3147271921 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | MR. ORENZA JOHN COTTON (PRESIDENT) |
| Authorized Official Telephone | 3145311600 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20001164578 | MO | Residential Treatment Facilities |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2000164578 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ADDICTION DIAGNOSIS & TREARMENT | CASAC 2513 | 01 |
| MO | 856261409 | 05 | |
| MO | LCSW MARRIAGE & FAMILY THERAPY | 2000165478 | 01 |
| MO | MEDICAID WAIVER | 856261409 | 01 |
| MO | 495945404 | 05 |
| Other Name | Type Code |
|---|---|
| Agape Counseling Service | Former Legal Business Name - Organization |
| Street Address |
4144 LINDELL BLVD SUITE 402 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235254954 | Employee Assistance Plus | Social Worker | 4144 Lindell Blvd, Suite 501, St Louis, MO 63108 | 2007-03-20 |
| 1104952431 | Brian L Winkler | Social Worker | 4144 Lindell Blvd, Suite 501, St Louis, MO 63108 | 2007-02-23 |
| 1255466587 | Joyce L Mcleod Henley | Social Worker | 4144 Lindell Blvd, Suite 501, St Louis, MO 63108 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649790007 | Erica L Chick | Social Worker | 12125 Conway Road, St Louis, MO 63141 | 2017-06-26 |
| 1831629898 | Susan Beth Thomas | Social Worker | I) 4130 Lindell Blvd, St Louis, MO 63110 | 2017-06-13 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1417125550 | Catherine L Pasierb | Social Worker | 12882 Manchester Road, Suite 201, St Louis, MO 63131 | 2008-02-12 |
| 1598957383 | Josephine A Alves | Social Worker | 404 S Clay Ave, St Louis, MO 63122-5808 | 2007-08-15 |
| 1942408042 | Shriley Jean Earley White | Social Worker | 13044 Marine Avenue, St Louis, MO 63146-2118 | 2007-07-10 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1184745390 | Ann Patrice Velasco | Social Worker | 18 South Kingshighway, Ste 110, St Louis, MO 63108 | 2007-04-03 |
| 1144344516 | Charlene Ann Warner | Social Worker | 7401 Wellington Ave, St Louis, MO 63130 | 2007-03-19 |
| 1982749784 | Lori Beth Goldberg | Social Worker | 10950 Schuetz Road, St Louis, MO 63146 | 2007-02-20 |
| Find all providers in ST LOUIS | ||||
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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.