JAY L. LISS, INCORPORATED (NPI# 1982777454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982777454 |
| Entity Type | Organization |
| Organization Name | JAY L. LISS, INCORPORATED |
| Practice Address |
8711 Watson Rd Suite 100 Saint Louis MO 63119-5100 |
| Practice Telephone | 3149619871 |
| Practice Fax Number | 3149619877 |
| Mailing Telephone | 3149619871 |
| Mailing Fax Number | 3149619877 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | JAY L LISS (PRESIDENT) |
| Authorized Official Telephone | 3149619871 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | 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 | MEDICARE PTAN | 000015640 | 01 |
| Street Address |
8711 WATSON RD SUITE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63119-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841201696 | Kristine V Eickhoff | Psychologist | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2006-08-10 |
| 1225158447 | Jon R Gergeceff | Social Worker | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2007-03-30 |
| 1457444598 | Liss & Assoc., Inc. | Counselor | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2006-10-02 |
| 1255342036 | Carol L. Niedermeier | Psychologist | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2006-08-10 |
| 1679584494 | Jay Lawrence Liss | Psychiatry & Neurology | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2006-08-10 |
| 1679584395 | Catherine C. Linstead | Social Worker | 8711 Watson Rd, Suite 100, Saint Louis, MO 63119-5100 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| 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 | 63119 |
Please comment or provide details below to improve the information on JAY L. LISS, INCORPORATED.
| 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.