THE COMMUNITY COUNSELING & HOUSING SERVICES (NPI# 1922507516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922507516 |
| Entity Type | Organization |
| Organization Name | THE COMMUNITY COUNSELING & HOUSING SERVICES |
| Other Organization Name | THE GOODFELLOW HOUSE |
| Practice Address |
8800 Goodfellow Blvd Saint Louis MO 63147-1431 |
| 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 | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| THE GOODFELLOW HOUSE | Other Name - Individual/Organization |
| 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 |
| 1427557081 | The Community Counseling & Housing Services | Psychologist | 4764 Beacon Ave, Saint Louis, MO 63120-2208 | 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 |
| Street Address |
8800 GOODFELLOW BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63147-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922256833 | Concentra Health Services, Inc. | Clinic/Center | 8340 N. Broadway, St. Louis, MO 63147 | 2008-09-04 |
| 1164945226 | Cozy Caregivers LLC | Home Health | 5952 Astra Ave, Saint Louis, MO 63147-1014 | 2017-07-20 |
| 1952866543 | Tasha) Walker | Psychologist | 5828 Pamplin Ave, Saint Louis, MO 63147-1018 | 2019-02-07 |
| 1053781443 | Vanessa Williams | Custodial Care Facility | 5757 Park Ln, Saint Louis, MO 63147-1019 | 2015-09-29 |
| 1760664627 | Eagle Home Health Care Inc | Home Health Aide | 5801 Park Ln, Saint Louis, MO 63147-1021 | 2007-12-03 |
| 1104014281 | Carrie's Caring In-home Health Care Inc. | Home Health | 5813 Park Ln, Saint Louis, MO 63147-1021 | 2007-10-14 |
| 1992074041 | Qualicare Home Health Services | Home Health | 5821 Riverview Blvd, Saint Louis, MO 63147-1023 | 2011-12-19 |
| 1790332849 | Infiniti Care Home Health LLC | Home Health | 5925 Floy Ave, Saint Louis, MO 63147-1105 | 2019-08-23 |
| 1134699473 | Crt Home Care Services, LLC | Home Health | 5939 Goodfellow Blvd, Saint Louis, MO 63147-1107 | 2018-11-29 |
| 1588847198 | Yolanda Shanell Turner | Nurse's Aide | 5921 Drury Ln, Saint Louis, MO 63147-1111 | 2007-12-06 |
| Find all providers in zip 63147 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356919 | Cardinal Ritter Institute-resident Services Corp | Assisted Living Facility | 5890 Eichelberger St, Saint Louis, MO 63109-3454 | 2020-11-02 |
| 1790343804 | Calvin Akins | Assisted Living Facility | 4432 W Belle Pl, Saint Louis, MO 63108-2617 | 2019-06-04 |
| 1073079091 | Homes That Care Co. | Assisted Living Facility | 4144 Lindell Blvd Ste 312, Saint Louis, MO 63108-2953 | 2019-02-14 |
| 1659759983 | Tlc Healthcare | Assisted Living Facility | 5421 Vernon Ave, Saint Louis, MO 63112-3313 | 2015-05-06 |
| 1225464001 | Spring Manor LLC | Assisted Living Facility | 3610 Palm St., Apt/suite, Saint Louis, MO 63107 | 2013-09-24 |
| 1508113549 | We Do That, LLC | Assisted Living Facility | 5261 Delmar Blvd Ste 216, Saint Louis, MO 63108-1013 | 2012-08-09 |
| 1356618128 | Sga Properties LLC | Assisted Living Facility | 3922 Delmar Blvd, Saint Louis, MO 63108-3502 | 2011-11-22 |
| 1326235664 | Saddler Residential Care Facility, Inc. | Assisted Living Facility | 730 Hodiamont Ave, Saint Louis, MO 63112-2002 | 2007-10-01 |
| 1083732929 | Wilbar Boarding Home Inc. | Assisted Living Facility | 4337 Maryland Ave, Saint Louis, MO 63108-2703 | 2007-03-27 |
| 1841318193 | Allways Kare Residential Facility, Inc | Assisted Living Facility | 5076 Waterman Blvd, Saint Louis, MO 63108-1102 | 2007-03-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63147 |
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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.