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KELLY B BOUSE
NPI 1184352155
Counselor - Professional in Saint Louis, MO

Active since August 09, 2022
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139(314) 206-3700(314) 206-3708 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Aug 9, 2022 (2 updates tracked since 2022).

About Kelly B Bouse NPPES

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

KELLY B BOUSE (NPI 1184352155) is an individual professional provider in Saint Louis, Missouri and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1184352155
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY B BOUSE
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) 206-3708
Sole ProprietorNo
Enumeration DateAugust 9, 2022
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1184352155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3309 S KINGSHIGHWAY BLVD, Saint Louis, MO 63139
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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 Kelly Bouse's NPI number?

The NPI number for Kelly Bouse is 1184352155. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Kelly Bouse located?

Kelly Bouse practices at 3309 S Kingshighway Blvd, Saint Louis, MO 63139. The listed phone number is (314) 206-3700.

What is Kelly Bouse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Bouse was last updated on July 15, 2024. 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.