ENISA BALOGUN
NPI 1013582196
Counselor - Mental Health in St Louis, MO

Active since May 21, 2021
1349 MACKLIND AVE, SUITE 200, ST LOUIS, MO 63110(314) 648-7800 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enisa Balogun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENISA BALOGUN (NPI 1013582196) is an individual mental health provider in St Louis, Missouri, licensed in Missouri (2018038960) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1013582196
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameENISA BALOGUN
Location Address1349 MACKLIND AVE, SUITE 200St Louis, MO 63110
Mailing Address1349 Macklind Ave, Suite 200St Louis, MO 63110 · (314) 648-7800
Sole ProprietorNo
Enumeration DateMay 21, 2021
NPPES CertifiedMay 10, 2021
NPI 1013582196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MO · 2018038960
1349 MACKLIND AVE, St Louis, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enisa Balogun's NPI number?

The NPI number for Enisa Balogun is 1013582196. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Enisa Balogun located?

Enisa Balogun practices at 1349 Macklind Ave Suite 200, St Louis, MO 63110. The listed phone number is (314) 648-7800.

What is Enisa Balogun's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Enisa Balogun was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.