NYSTROM COUNSELING MO, PC
NPI 1184401762
Clinic/Center - Mental Health (Including Community Mental Health Center) in O Fallon, MO

NPI Status: Active since September 08, 2023

Contact Information

801 S WOODLAWN AVE STE 16
O FALLON, MO
ZIP 63366
Phone: (636) 379-1779

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About NYSTROM COUNSELING MO, PC

This page provides the complete NPI Profile along with additional information for Nystrom Counseling Mo, Pc, a provider established in O Fallon, Missouri operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1184401762 assigned on September 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ann Eiden (Vp Of Corporate Services)

NPI
1184401762
Provider Name
NYSTROM COUNSELING MO, PC
Entity Type
Organization
Location Address
801 S WOODLAWN AVE STE 16 O FALLON, MO 63366
Location Phone
(636) 379-1779
Mailing Address
1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112
Mailing Phone
(651) 628-9566
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2023
Last Update Date
10-21-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Standard - EPO
  • Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Bronze Premier - EPO
  • Medica with MU Health Care Expanded Bronze Standard - EPO
  • Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Gold Share - EPO
  • Medica with MU Health Care Gold Standard - EPO
  • Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
  • Medica with MU Health Care Silver Share - EPO
  • Medica with MU Health Care Silver Standard - EPO
  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN EIDEN

Authorized Official Title
VP OF CORPORATE SERVICES
Authorized Official Phone
(651) 379-1750

Reviews for NYSTROM COUNSELING MO, PC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184401762, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 8 + 0 + 2 + 7 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1184401762.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
801 S WOODLAWN AVE STE 16
O FALLON, MO 63366
Counselor (Mental Health)
801 S WOODLAWN AVE STE 16
O FALLON, MO 63366
Counselor (Professional)
801 S WOODLAWN AVE STE 16
O FALLON, MO 63366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184401762, enumerated as an "organization" on September 08, 2023.

The provider is located at 801 S WOODLAWN AVE STE 16 O FALLON, MO 63366 and the phone number is (636) 379-1779.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Medica. Please consult your insurance carrier or call the provider to verify.