BTA BEHAVIORAL HEALTH, INC. (NPI# 1336452580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336452580 |
| Entity Type | Organization |
| Organization Name | BTA BEHAVIORAL HEALTH, INC. |
| Practice Address |
9167 W Florissant Ave Saint Louis MO 63136-1420 |
| Mailing Address |
Po Box 703 Bridgeton MO 63044-0703 |
| Practice Telephone | 3145744081 |
| Practice Fax Number | 3145243804 |
| Mailing Telephone | 3145744081 |
| Mailing Fax Number | 3145243804 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | MR. LEONARD E. BRADLEY (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3145744081 |
| Authorized Official Credential | MSE, CCDP-D, ICC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MO | Agencies |
| Street Address |
9167 W FLORISSANT AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640581 | Leonard Eugene Bradley | Counselor | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2006-07-31 |
| 1033476676 | Synergy Counseling Services | Community/Behavioral Health | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2012-04-20 |
| 1861799819 | Keri Renee Burns | Counselor | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2011-02-26 |
| 1831372564 | Cheryl Renee Nelson | Social Worker | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2007-12-17 |
| 1568509032 | Successful Outcomes,llc | Counselor | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2007-01-31 |
| 1578629713 | Adrienne Lachelle Eaglin | Social Worker | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2006-12-30 |
| 1134284888 | Lajuana Walker | Counselor | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2006-12-22 |
| 1164515250 | Sonya Maria Herron | Counselor | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2006-10-02 |
| 1811907892 | Johnnie Brenay Johnson-day | Social Worker | 9167 W Florissant Ave, Saint Louis, MO 63136-1420 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| 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 | 63136 |
Please comment or provide details below to improve the information on BTA BEHAVIORAL HEALTH, INC..
| 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.