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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PSYCHOTHERAPY LLC
NPI 1164203188
Social Worker - Clinical in Crystal City, MO

Active since October 06, 2023
508 N TRUMAN BLVD STE F, CRYSTAL CITY, MO 63019(636) 931-8784(636) 465-0026 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2025, Apr 11, 2024, Oct 6, 2023 (3 updates tracked since 2023).

About Psychotherapy Llc NPPES

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

PSYCHOTHERAPY LLC (NPI 1164203188) is a healthcare organization registered as a clinical in Crystal City, Missouri and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Bonne Terre and lists Diana Blackwell, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1164203188
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePSYCHOTHERAPY LLC
Location Address508 N TRUMAN BLVD STE FCrystal City, MO 63019-1344
Mailing Address508 N Truman Blvd Ste FCrystal City, MO 63019-1344 · (636) 931-8784 · Fax (636) 465-0026
Phone(636) 931-8784
Fax(636) 465-0026
Organization SubpartNo
Authorized OfficialDiana BlackwellClinical Social Worker · (573) 315-5549
Enumeration DateOctober 6, 2023
Last NPPES UpdateJuly 3, 20263 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1164203188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
508 N TRUMAN BLVD STE F, Crystal City, MO 63019
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Secondary Practice Location 1

Location 18135 Berry RdBonne Terre, MO 63628-4355 · Phone (573) 315-5549

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DIANA BLACKWELL LCSW
Social Worker (Clinical)
508 N TRUMAN BLVD STE F
CRYSTAL CITY, MO 63019
Jefferson County (573) 315-5549

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 Psychotherapy LLC's NPI number?

The NPI number for Psychotherapy LLC is 1164203188. It was assigned to this organization in the NPPES registry on October 6, 2023.

Where is Psychotherapy LLC located?

Psychotherapy LLC is located at 508 N Truman Blvd Ste F, Crystal City, MO 63019. The listed phone number is (636) 931-8784.

What is Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Psychotherapy LLC was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.