CHARLES MASSIE (NPI# 1013369628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013369628 |
| Entity Type | Individual |
| Full Name | CHARLES MASSIE |
| Credential | LPC, LCPC, CADC |
| Practice Address |
5000 Manchester Ave Saint Louis MO 63110-2012 |
| Practice Telephone | 6188774420 |
| Mailing Telephone | 6188774420 |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2019-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
32660 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
2018007090 | MO | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.011349 | IL | Behavioral Health & Social Service Providers |
| Street Address |
5000 MANCHESTER AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972684264 | Leslie M. Tharenos | Preventive Medicine | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2006-10-17 |
| 1902208101 | Molly Dee Haynes | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2014-09-18 |
| 1508279142 | Edward Augustine Stapleton | General Practice | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2014-06-10 |
| 1790928059 | Karen Elizabeth Bass | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2009-04-15 |
| 1356598890 | Susan Alice Colburn | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2008-08-27 |
| 1326250143 | Karen Shockley | Preventive Medicine | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2007-05-04 |
| 1174740781 | Henry M Duhadway | Nurse Practitioner | 5000 Manchester Ave, Saint Louis, MO 63110-2012 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
| 1467067504 | Anne Margaret Perkins | Counselor | 9733 Saint Charles Rock Rd, Saint Louis, MO 63114-2625 | 2020-09-15 |
| 1730792722 | Aryn Bostic | Counselor | 7584 Olive Blvd Ste 203, Saint Louis, MO 63130-1600 | 2020-08-28 |
| 1417568932 | Child and Family Empowerment Center | Counselor | 800 N Tucker Blvd Fl 1, Saint Louis, MO 63101-1008 | 2020-08-10 |
| 1720603830 | Kelly Marie Buckley | Counselor | 5939 Hilgard Pl, Saint Louis, MO 63109-3445 | 2020-06-15 |
| 1407479207 | Lauren Elizabeth Summers | Counselor | 6261 Reber Pl, Saint Louis, MO 63139-2617 | 2020-05-27 |
| 1306469960 | Walter Robert Scull | Counselor | 1300 Kirkham Ave, Saint Louis, MO 63122-3127 | 2020-05-18 |
| 1982226759 | David Mcgraw | Counselor | 28 Reasor Dr, Saint Louis, MO 63135-1125 | 2020-05-14 |
| 1992326565 | Chantrell M Carter | Counselor | 5027 Mardel Ave, Saint Louis, MO 63109-1731 | 2020-05-05 |
| 1508486333 | Evelyn Aviva Witten | Counselor | 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 | 2020-04-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on CHARLES MASSIE.
| 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.