ALICIA SUTTON


Address: 248 Chez Vant Ct, Hazelwood, MO 63042-3542
Phone: 3145181188

ALICIA SUTTON (NPI# 1306198411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306198411
Entity Type Individual
Full Name ALICIA SUTTON
Credential CPS
Practice Address 248 Chez Vant Ct
Hazelwood
MO 63042-3542
Practice Telephone 3145181188
Mailing Telephone 3145181188
Enumeration Date 2012-10-12
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 11674 MO Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 1306198411 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1850 Apple Blossom Ct, Florissant, MO 630313009 3145181188
2455 Hawthorne Manor Dr, Florissant, MO 630314411 3143987448

Office Location

Street Address 248 CHEZ VANT CT
City HAZELWOOD
State MO
Zip Code 63042-3542

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NPI Name Taxonomy Address Enumeration
1871101147 Infusion Health Care, LLC Home Health 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 2020-07-22
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1417462391 Community Care Registered Nurse 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 2017-12-13
1649797077 Eric R Ricker Optometrist 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 2017-08-25
1750802799 Health Remedies LLC Meals 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 2017-06-29
1508396193 Tyrone Cain Home Health 7865 Chalmette Drive, Hazelwood, MO 63042 2017-06-15
1497114888 Joshalyn Mills Massage Therapist 4808 Tall Tree Ln, Hazelwood, MO 63042 2016-02-15
1902264286 Tricar Inc In Home Supportive Care 1740 Leafcrest Dr, Hazelwood, MO 63042 2016-02-02
1255750840 Jeffrey Kelly Specialist/Technologist 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 2014-04-10
1477894426 2nd Chance 4 You, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 327 Sturbridge, Hazelwood, MO 63042 2013-03-14
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518564426 Tuesday Florence Peer Specialist 1312 Highland Dr, Rolla, MO 65401-3609 2020-10-04
1053926006 Poetry for Personal Power Peer Specialist 1730 E 63rd St, Suite 300, Kansas City, MO 64110 2020-09-15
1487266011 Jason Wade Moore Peer Specialist 5 West Pearce Boulevard, Wentzville, MO 63385 2020-08-17
1922642438 Christine Marie Forrest Peer Specialist 1106 Marlowe St, Fredericktown, MO 63645-8835 2019-10-29
1326699950 Family Advocacy and Community Training Peer Specialist 800 Friedens Rd Ste 200, Saint Charles, MO 63303-4198 2019-09-25
1073077509 Katherine Anne Walters Peer Specialist 504 E Broadway Ste A, Ashland, MO 65010-9538 2019-01-29
1265958441 Jessica Luedde Peer Specialist 1430 Olive St Fl 6, Saint Louis, MO 63103-2303 2017-08-18
1740718303 Haywood Hughes Peer Specialist 1004 Goetz Blvd Apt 4, Joplin, MO 64801-1470 2017-05-26
1366848855 Rosanna Metcalf Peer Specialist 925 State Highway W, Kennett, MO 63857 2014-11-10
1770195315 Renewed Hope for Mental Health, LLC Peer Specialist 5 W Pearce Blvd, Wentzville, MO 63385-1415 2020-08-17
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Competitor

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City HAZELWOOD
Zip Code 63042

Improve Information

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Dataset Information

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.

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