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JENNIFER DAYLE KING BROGAN CRADC, MARS, CH
NPI 1255951398
Counselor - Addiction (Substance Use Disorder) in Saint Louis, MO

Active since April 18, 2020
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139(314) 206-3708 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 27, 2024, Apr 18, 2020 (2 updates tracked since 2020).

About Jennifer Dayle King Brogan Cradc, Mars, Ch NPPES

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

JENNIFER DAYLE KING BROGAN CRADC, MARS, CH (NPI 1255951398) is an individual addiction (substance use disorder) provider in Saint Louis, Missouri, licensed in Missouri (4111) and active in the NPI registry since April 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255951398
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER DAYLE KING BROGANCredential: CRADC, MARS, CH
Location Address3309 S KINGSHIGHWAY BLVDSaint Louis, MO 63139-1101
Mailing Address197 Crosswinds DrArnold, MO 63010-2018 · (636) 204-9766
Phone(314) 206-3708
Sole ProprietorYes
Enumeration DateApril 18, 2020
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1255951398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MO · 4111
3309 S KINGSHIGHWAY BLVD, Saint Louis, MO 63139
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Secondary Practice Locations 2

Location 1197 Crosswinds DrArnold, MO 63010-2018 · Phone (636) 204-9766
Location 211102 Lindbergh CtSaint Louis, MO 63123-7810 · Phone (314) 206-3400

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 Jennifer King Brogan's NPI number?

The NPI number for Jennifer King Brogan is 1255951398. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Jennifer King Brogan located?

Jennifer King Brogan practices at 3309 S Kingshighway Blvd, Saint Louis, MO 63139. The listed phone number is (314) 206-3708.

What is Jennifer King Brogan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennifer King Brogan was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.