KIM A. KNUTSEN, LCSW (NPI# 1467651166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467651166 |
| Entity Type | Organization |
| Organization Name | KIM A. KNUTSEN, LCSW |
| Other Organization Name | KIM A. KNUTSEN, LCSW |
| Practice Address |
10016 Kennerly Rd Saint Louis MO 63128-2106 |
| Practice Telephone | 3145251400 |
| Practice Fax Number | 3145257260 |
| Mailing Telephone | 3145251400 |
| Mailing Fax Number | 3145257260 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | KIM ANN KNUTSEN (THERAPIST) |
| Authorized Official Telephone | 3148527474 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | 004535 | MO | Managed Care Organizations |
| Y | 283Q00000X | Psychiatric Hospital | 004535 | MO | Hospitals |
| Other Name | Type Code |
|---|---|
| Kim A. Knutsen, LCSW | Doing Business As Name - Organization |
| Street Address |
10016 KENNERLY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730292665 | Nancy L Conover | Social Worker | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2006-08-16 |
| 1942631601 | Kathleen Dooling | Counselor | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-12-06 |
| 1235479817 | Irena Jance | Counselor | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-02-19 |
| 1023262607 | Gina M Rocchio-gymer | Social Worker | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2008-11-10 |
| 1942486634 | St. Anthony's Medical Center | Psychiatric Hospital | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2008-01-14 |
| 1972788099 | Dianne Cheryl Gawedzinski | Counselor | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2008-01-08 |
| 1720263098 | Kimberly Irene Estes | Counselor | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2008-01-07 |
| 1699961045 | St. Anthony's Physician Organization | Psychiatry & Neurology | 10016 Kennerly Rd, Suite 3, Saint Louis, MO 63128-2106 | 2007-09-19 |
| 1659485076 | Shannon C Cooper-sadlo | Social Worker | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2006-08-19 |
| 1700991130 | Ray John Kopsky | Social Worker | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033289897 | State of Missouri | Psychiatric Hospital | 1901 Pennsylvania Ave, Saint Louis, MO 63133-1325 | 2006-11-09 |
| 1346630852 | State of Missouri Department of Mental Health | Psychiatric Hospital | 5300 Arsenal St, Saint Louis, MO 63139-1463 | 2015-02-04 |
| 1942486634 | St. Anthony's Medical Center | Psychiatric Hospital | 10016 Kennerly Rd, Saint Louis, MO 63128-2106 | 2008-01-14 |
| 1578518239 | State of Missouri | Psychiatric Hospital | 5300 Arsenal St, Saint Louis, MO 63139-1463 | 2006-05-23 |
| 1821043589 | State of Missouri | Psychiatric Hospital | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485281 | Cape Girardeau Behavioral Health LLC | Psychiatric Hospital | 639 S Silver Springs Rd, Cape Girardeau, MO 63703-7539 | 2020-10-26 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1790115939 | Nhc Reliant Psychiatric Services LLC | Psychiatric Hospital | 840 Passover Road, Osage Beach, MO 65065-2834 | 2013-11-26 |
| 1649518382 | Comc | Psychiatric Hospital | 5260 S Tanager Ave, Battlefield, MO 65619-9222 | 2013-01-30 |
| 1528340841 | St. Louis Regional Psychiatric Stabilization Center | Psychiatric Hospital | 5355 Delmar Boulevard, St. Louis, MO 63112-3146 | 2011-09-13 |
| 1750692638 | Global Psychiatric Associates Inc | Psychiatric Hospital | 16216 Baxter Rd Ste 323, Chesterfield, MO 63017-4778 | 2010-06-25 |
| 1346485257 | Western Missouri Mental Health | Psychiatric Hospital | 1000 E. 24th Street, Kansas City, MO 64108 | 2008-12-05 |
| 1558541755 | Marie E (melissa) Ring | Psychiatric Hospital | 1010 West Columbia, Farmington, MO 63640 | 2007-11-06 |
| 1497795892 | Midwest Division - Rpc, LLC | Psychiatric Hospital | 2323 E 63rd St, Kansas City, MO 64130-3462 | 2006-06-07 |
| 1104878792 | State of Missouri | Psychiatric Hospital | 600 E 5th St, Fulton, MO 65251-1753 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.