| Carepoint Christian Counseling, LLC | |
|
12166 Old Big Bend Rd Ste 204 Saint Louis MO 63122-6836 | |
| (314) 822-8888 | |
| Not Available |
| Full Name | Carepoint Christian Counseling, LLC |
|---|---|
| Speciality | Counselor |
| Location | 12166 Old Big Bend Rd Ste 204, Saint Louis, Missouri |
| Authorized Official Name and Position | David Wilde (MEMBER) |
| Authorized Official Contact | 3148228888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carepoint Christian Counseling, LLC 12166 Old Big Bend Rd Ste 204 Saint Louis MO 63122-6836 Ph: (314) 822-8888 | Carepoint Christian Counseling, LLC 12166 Old Big Bend Rd Ste 204 Saint Louis MO 63122-6836 Ph: (314) 822-8888 |
| NPI Number | 1023394319 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Medicare PECOS PAC ID | 9335689215 |
|---|---|
| Medicare Enrollment ID | O20240905003930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023394319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2006038842 (Missouri) | Primary |
| Provider Name | David N Wilde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467581363 PECOS PAC ID: 2062952948 Enrollment ID: I20240905004018 |
| Provider Name | Kristin Ferrari Pirrie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073847976 PECOS PAC ID: 4880134766 Enrollment ID: I20260501003017 |
| Provider Name | Tyler J. Sparks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609024793 PECOS PAC ID: 3971043852 Enrollment ID: I20260504007021 |
| Provider Name | William Parks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215688940 PECOS PAC ID: 3971074964 Enrollment ID: I20260610001957 |
| Provider Name | William Mattingly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407352115 PECOS PAC ID: 4183196157 Enrollment ID: I20260611000590 |
| Provider Name | Christine Marie Keating |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568216349 PECOS PAC ID: 7214409135 Enrollment ID: I20260611002840 |
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