1497832380 NPI number — NEW BEGINNINGS COUNSELING, INC

Table of content: (NPI 1497832380)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497832380 NPI number — NEW BEGINNINGS COUNSELING, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW BEGINNINGS COUNSELING, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497832380
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
141 E MADISON AVE APT 407
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63122-4331
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-712-1754
Provider Business Mailing Address Fax Number:
314-828-5163

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
745 CRAIG RD STE 102C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CREVE COEUR
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63141-7122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-712-1754
Provider Business Practice Location Address Fax Number:
314-828-5163
Provider Enumeration Date:
11/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KUNTZ
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PSYCHOLOGIST
Authorized Official Telephone Number:
314-712-1754

Provider Taxonomy Codes

  • Taxonomy code: 103TC1900X , with the licence number:  01685 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 002855 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 496729708 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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