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BJC BEHAVIORAL HEALTH
NPI 1063543932
Clinic/Center - Adult Mental Health in Saint Louis, MO

Active since March 09, 2007CLIA 26D1038943 · Waiver
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139(314) 206-3700(314) 206-3881 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bjc Behavioral Health NPPES

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

BJC BEHAVIORAL HEALTH (NPI 1063543932) is a healthcare organization registered as an adult mental health in Saint Louis, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists Angela Martin-davis, President, as its authorized official.

NPPES Registry Identity

NPI1063543932
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBJC BEHAVIORAL HEALTH
Location Address3309 S KINGSHIGHWAY BLVDSaint Louis, MO 63139-1101
Mailing Address3309 S Kingshighway BlvdSaint Louis, MO 63139-1101 · (314) 206-3700 · Fax (314) 206-3708
Phone(314) 206-3700
Fax(314) 206-3881
Organization SubpartNo
Authorized OfficialAngela Martin-davisPresident · (314) 206-3700
Enumeration DateMarch 9, 2007
Last NPPES UpdateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1063543932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in MO · 267-7258
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3309 S KINGSHIGHWAY BLVD, Saint Louis, MO 63139
Open in Google Maps ↗

Other Identifiers 2

Medicaid876175704MO
Other7107625MO · Dept. Of Mental Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1038943

Bjc Behavioral Health · Farmington, MO
Active · expires Mar 29, 2027
CLIA Number26D1038943
Laboratory TypeOutpt Mental Health Clini
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorAngela Martin-Davis
Laboratory Phone(314) 206-3700
Laboratory LocationBjc Behavioral Health1085 Maple Street, Farmington, MO 63640
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JEANNA RUFET KNIGHT LPC
Counselor (Professional)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
CARMEN MARIE MAURO
Case Manager/Care Coordinator
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
SUMMER JOHNSON
Technician (Personal Care Attendant)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
MS. DAWN ELIZABETH SWINGER L.P.C.
Counselor (Professional)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 534-9350
CASSIDY SPROCK
Social Worker
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
BJC BEHAVIORAL HEALTH
Pharmacy (Clinic Pharmacy)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3738
SHYRHA DEDEE DAVIS
Social Worker (Clinical)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700
ASHTYN WILLIAMS
Social Worker (Clinical)
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139
St. Louis City (314) 206-3700

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 Bjc Behavioral Health's NPI number?

The NPI number for Bjc Behavioral Health is 1063543932. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Bjc Behavioral Health located?

Bjc Behavioral Health is located at 3309 S Kingshighway Blvd, Saint Louis, MO 63139. The listed phone number is (314) 206-3700.

What is Bjc Behavioral Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Bjc Behavioral Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1038943) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bjc Behavioral Health was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.