AGAPE CHRISTIAN COUNSELING SERVICES (NPI# 1215259106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215259106 |
| Entity Type | Organization |
| Organization Name | AGAPE CHRISTIAN COUNSELING SERVICES |
| Practice Address |
9378 Olive Blvd Ste 317 Saint Louis MO 63132-3224 |
| Practice Telephone | 3147469622 |
| Mailing Telephone | 3147469622 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |
| Authorized Official Name | DARRELL GEORGE PROVINSE (L.P.C., N.C.C) |
| Authorized Official Telephone | 3147469622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2009036114 | MO | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255617726 | Agape Christian Counseling Services | Community/Behavioral Health | 525 Rue Saint Francois, Suite8, Florissant, MO 63031-5036 | 2011-10-28 |
| 1407906803 | Agape Christian Counseling Services | Counselor | 9378 Olive Blvd, Ste. 317, Saint Louis, MO 63132-3215 | 2007-01-11 |
| Street Address |
9378 OLIVE BLVD STE 317 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699977116 | Jennifer Baker | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2007-06-05 |
| 1528698917 | Daniel David Pomerleau | Marriage & Family Therapist | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2020-01-24 |
| 1396387551 | Latanya Davis | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2019-10-09 |
| 1013484443 | Stacie Henson | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2018-10-24 |
| 1932619376 | Gerald Waggoner | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2017-10-11 |
| 1477080539 | Leslie D Lee | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2017-05-18 |
| 1609290162 | Teresa Louise Weeke I | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2014-02-04 |
| 1134561095 | Kimberly Shannon Jones | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2013-07-20 |
| 1609184878 | Amanda Kay Stutz | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2010-09-21 |
| 1427371459 | Myung Jin Kim | Counselor | 9378 Olive Blvd Ste 317, Saint Louis, MO 63132-3224 | 2010-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| 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 | 63132 |
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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.