THE COMMUNITY COUNSELING & HOUSING SERVICES (NPI# 1427557081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427557081 |
| Entity Type | Organization |
| Organization Name | THE COMMUNITY COUNSELING & HOUSING SERVICES |
| Practice Address |
4764 Beacon Ave Saint Louis MO 63120-2208 |
| Mailing Address |
4166 Lindell Blvd Apt 1b Saint Louis MO 63108-2923 |
| Practice Telephone | 3145803029 |
| Mailing Telephone | 3145803029 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | DR. MARVIN SHELTON (CEO) |
| Authorized Official Telephone | 3145803029 |
| Authorized Official Credential | ED.S, ED.D, RADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7525 Calvin Ave, Jennings, MO 631361201 | 3144847758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952800427 | The Community Counseling & Housing Services | Case Management | 10069 Tappan Dr, Saint Louis, MO 63137-2049 | 2018-02-09 |
| 1508365198 | The Community Counseling & Housing Services | Case Management | 460 Shepley Dr, Saint Louis, MO 63137-4026 | 2018-02-08 |
| 1477052058 | The Community Counseling & Housing Services | Counselor | 2407 Petrova Ave, Jennings, MO 63136-3903 | 2018-02-08 |
| 1215436803 | The Community Counseling & Housing Services | Case Management | 4546 Ashland Ave, Saint Louis, MO 63115-2330 | 2018-02-08 |
| 1023517612 | The Community Counseling & Housing Services | Counselor | 2508 N Euclid Ave, Saint Louis, MO 63113-1722 | 2018-02-08 |
| 1922507516 | The Community Counseling & Housing Services | Counselor | 8800 Goodfellow Blvd, Saint Louis, MO 63147-1431 | 2018-02-08 |
| Street Address |
4764 BEACON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63120-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688571 | Jacquelyn Echoles | Non-emergency Medical Transport (VAN) | 5504 Natural Bridge Apt 6 West, St. Louis, MO 63120 | 2020-01-16 |
| 1922358423 | Smiley Manor | Community Based Residential Treatment Facility, Mental Illness | 5415 Thekla, Saint Louis, MO 63120 | 2012-09-12 |
| 1841314549 | Eye Fashion Factory | Technician/Technologist | 5800 Natural Bridge, Stlouis, MO 63120 | 2007-03-19 |
| 1568504488 | Carestl Health | Clinical Medical Laboratory | 5541 Riverview Bld, St Louis, MO 63120 | 2007-02-14 |
| 1467494062 | Carestl Health #2 | Durable Medical Equipment & Medical Supplies | 5541 Riverview Blvd, Saint Louis, MO 63120 | 2006-06-11 |
| 1013120096 | Jenn-care Home Nursings & Services Inc | Home Health | 6104 Wyma Ave, Saint Louis, MO 63120-1331 | 2007-05-07 |
| 1437687639 | Keys Loving Home Care Services LLC | Home Health | 4122 Dressell Ave, Saint Louis, MO 63120-1402 | 2017-06-01 |
| 1316475510 | Tina Renee Keys | Home Health | 4122 Dressell Ave, Saint Louis, MO 63120-1402 | 2017-06-01 |
| 1265690515 | Kimberly Dawn Smith | Social Worker | 4205 Dressell Ave, Saint Louis, MO 63120-1403 | 2008-05-22 |
| 1255798906 | Safe Hand In Home Care Service | Home Health | 5817 Dressell Ave, Saint Louis, MO 63120-1405 | 2016-01-26 |
| Find all providers in zip 63120 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356698930 | Jamieson Care LLC | Assisted Living Facility | 3715 Jamieson Ave, Saint Louis, MO 63109-1109 | 2012-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427269828 | Davis Health Care, Inc. | Assisted Living Facility | 2826 Campbell St, Kansas City, MO 64109-1124 | 2007-05-25 |
| 1679641229 | Hulett Enterprises Dba Stovers Residential Care Facility | Assisted Living Facility | 520 E 5th St, Milan, MO 63556-1222 | 2006-12-01 |
| 1033288899 | Ridgeway Residential Care | Assisted Living Facility | 431 Russell Rd, Sullivan, MO 63080-2228 | 2006-11-07 |
| 1245720192 | Welltower Opco Group LLC | Assisted Living Facility | 45 E Lockwood Ave, Webster Groves, MO 63119-3050 | 2018-05-16 |
| 1003178740 | Reliant Care Rehabilitative Service | Assisted Living Facility | 1734 Market St, Hannibal, MO 63401-4025 | 2012-06-08 |
| 1376804476 | Reliant Care Rehabilitative Services | Assisted Living Facility | 1734 Market St, Hannibal, MO 63401-4025 | 2012-06-05 |
| 1679889711 | Judy C Funk Lscw Clinical Social Work LLC | Assisted Living Facility | 5103 Sw Surf Scooter St, Lees Summit, MO 64082-4599 | 2010-08-26 |
| 1134397524 | Davis Health Care, Inc. | Assisted Living Facility | 2905 Campbell St, Kansas City, MO 64109-1417 | 2008-02-19 |
| 1134271885 | Complete Health Care Solutions, Inc | Assisted Living Facility | 303 S Main St, Fayette, MO 65248-1270 | 2007-01-16 |
| 1255495420 | Complete Health Care Solutions, Inc | Assisted Living Facility | 303 S Main St, Fayette, MO 65248-1270 | 2006-12-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63120 |
Please comment or provide details below to improve the information on THE COMMUNITY COUNSELING & HOUSING SERVICES.
| 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.