MR. GREGORY PEEBLES (NPI# 1821411067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821411067 |
| Entity Type | Individual |
| Full Name | MR. GREGORY PEEBLES |
| Credential | AM, MA, PLPC |
| Practice Address |
4236 Lindell Blvd Suite 200 Saint Louis MO 63108-2948 |
| Practice Telephone | 3145311155 |
| Practice Fax Number | 3145311170 |
| Mailing Telephone | 3145311155 |
| Mailing Fax Number | 3145311170 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MH | 05 |
| Street Address |
4236 LINDELL BLVD SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790991404 | Valerie A. Dixon | Marriage & Family Therapist | 4236 Lindell Blvd, Saint Louis, MO 63108-2948 | 2007-05-16 |
| 1790137917 | Jenna Kruse | Marriage & Family Therapist | 4236 Lindell Blvd, Saint Louis, MO 63108-2948 | 2016-07-12 |
| 1629428305 | Zaundrea Young | Counselor | 4236 Lindell Blvd, Saint Louis, MO 63108-2948 | 2016-06-14 |
| 1770968299 | Alix Weitman | Social Worker | 4236 Lindell Blvd, Suite #200, Saint Louis, MO 63108-2948 | 2015-07-26 |
| 1205234804 | Cassandra Williams | Social Worker | 4236 Lindell Blvd, Suite 200, Saint Louis, MO 63108-2948 | 2014-12-12 |
| 1073910667 | Mykael Elisa Ornbaun | Social Worker | 4236 Lindell Blvd, Suite 200, Saint Louis, MO 63108-2948 | 2014-11-25 |
| 1932521077 | Penny Smith | Social Worker | 4236 Lindell Blvd, Suite 200, Saint Louis, MO 63108-2948 | 2014-01-08 |
| 1538597414 | Gayle Heady | Social Worker | 4236 Lindell Blvd, Suite 200, Saint Louis, MO 63108-2948 | 2013-10-31 |
| 1639477177 | Brianne Elizabeth Serdar | Social Worker | 4236 Lindell Blvd, Suite 200, Saint Louis, MO 63108-2948 | 2011-03-08 |
| 1922304187 | Julia L Peters | Counselor | 4236 Lindell Blvd, Saint Louis, MO 63108-2948 | 2011-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1508475534 | Elizabeth (lisa) Pullen Will-smith | Counselor | 6649 Hoffman Ave, Saint Louis, MO 63139-2546 | 2020-07-27 |
| 1689297970 | Joy Montrice Camp | Counselor | 1126 N 16th St, Saint Louis, MO 63106-3736 | 2020-05-21 |
| 1568084622 | Amy Turk | Counselor | 701 Luckystone Ave, Saint Louis, MO 63122-3245 | 2020-05-12 |
| 1588285647 | Jesse Sieger-walls | Counselor | 32 Bellerive Acres, Saint Louis, MO 63121-4321 | 2020-04-29 |
| 1265061394 | Victoria Kyles | Counselor | 124 Forestwood Dr, Saint Louis, MO 63135-2827 | 2020-04-01 |
| 1790312528 | Sarah Williford | Counselor | 8420 Delmar Blvd Ste 301, Saint Louis, MO 63124-2178 | 2020-03-23 |
| 1033745005 | Casey Robert Thompson | Counselor | 600 Buckley Rd, Saint Louis, MO 63125-5303 | 2020-03-20 |
| 1891328613 | Jessica Kay Dowling | Counselor | 3008 Sutton Blvd Ste 200, Saint Louis, MO 63143-3064 | 2020-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on MR. GREGORY PEEBLES.
| 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.