ALPHONSO IVY JR. (NPI# 1316392061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316392061 |
| Entity Type | Individual |
| Full Name | ALPHONSO IVY JR. |
| Credential | PLPC |
| Practice Address |
1323 Sullivan Ave Saint Louis MO 63107-3919 |
| Practice Telephone | 3145031746 |
| Practice Fax Number | 3144882059 |
| Mailing Telephone | 3145031746 |
| Mailing Fax Number | 3144882059 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 2016012675 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1323 SULLIVAN AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63107-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639516354 | Daniel L. Blash, LLC | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2013-06-04 |
| 1912556861 | Lacita Moody | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2019-09-04 |
| 1154893436 | Jessica Saigh | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2018-12-26 |
| 1538641634 | Rachel Williamson | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2018-09-05 |
| 1972013019 | Janet M Hernandez | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2017-10-03 |
| 1619492956 | Ebonie L Brown | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2017-08-08 |
| 1467981324 | Nichole Dales | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2017-06-05 |
| 1780123133 | Elexis Hill | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2017-02-17 |
| 1417495292 | Gabrielle Nguyen | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2017-02-01 |
| 1417305012 | Eileen Cheong | Counselor | 1323 Sullivan Ave, Saint Louis, MO 63107-3919 | 2016-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851937676 | Elizabeth Lawton | Counselor | Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 | 2019-11-27 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1609328996 | Gina Lagarce | Contractor | 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 | 2016-11-02 |
| 1932515012 | Christopher L Adams | Counselor | 4220 North Grand Blvd, St.louis, MO 63107 | 2014-07-09 |
| 1902212160 | Nora Ann Boland II | Counselor | 4220 North Grand Blvd., St. Louis, MO 63107 | 2014-07-09 |
| 1700209467 | Calvin Garner | Social Worker | 7018 Destrehan, St Louis, MO 63107 | 2014-01-30 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1518189141 | Excel Home Health Care | Chore Provider | 2125 Bissell St, St. Louis, MO 63107 | 2007-05-03 |
| 1407375314 | Shayla Dana Smith | Counselor | 4220 Grand Ave, St Louis, MO 63107 | 2017-09-12 |
| 1528468147 | Annette Michelle Cook | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-09-02 |
| Find all providers in zip 63107 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861644 | Barbara Schuver | Counselor | 1709 Rosearbor Dr, Saint Louis, MO 63146-4724 | 2020-11-04 |
| 1255946356 | Jessika Triplett | Counselor | 9909 Manchester Rd # 134, Saint Louis, MO 63122-1915 | 2020-09-15 |
| 1629689344 | Jennifer Walsh | Counselor | 5704 Rosa Ave, Saint Louis, MO 63109-3256 | 2020-08-14 |
| 1952910408 | Tiffany Wingo | Counselor | 4143 California Ave, Saint Louis, MO 63118-4507 | 2020-07-29 |
| 1952922528 | Kevin Mcculloch | Counselor | 4100 Forest Park Ave Apt 423, Saint Louis, MO 63108-2897 | 2020-05-05 |
| 1659912954 | Merrick Hughes | Counselor | 2800 Stoddard St Apt 201, Saint Louis, MO 63106-2211 | 2019-10-08 |
| 1821649757 | John Lucas | Counselor | 200 S Bemiston Ave Ste 101, Saint Louis, MO 63105-1915 | 2019-09-23 |
| 1841840618 | Christa Elizabeth Walker | Counselor | 12360 Manchester Rd Ste 100, Saint Louis, MO 63131-4312 | 2019-09-13 |
| 1477013944 | Wonakee Terrisita Robinson Jr. | Counselor | 5950 Drury Ln, Saint Louis, MO 63147-1112 | 2019-03-21 |
| 1952884397 | Marni A Deutsch | Counselor | 7751 Carondelet Ave Ste 600b, Saint Louis, MO 63105-4043 | 2018-09-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63107 |
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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.