ETHAN TIMM
NPI 1396622882
Counselor in Chesterfield, MO

Active since August 18, 2025
15455 CONWAY RD, CHESTERFIELD, MO 63017(636) 675-7566 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan Timm NPPES

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

ETHAN TIMM (NPI 1396622882) is an individual counselor in Chesterfield, Missouri and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1396622882
Entity TypeIndividual
Primary Taxonomy101Y00000X
Provider Legal NameETHAN TIMM
Location Address15455 CONWAY RDChesterfield, MO 63017-6022
Mailing Address15455 Conway RdChesterfield, MO 63017-6022
Sole ProprietorNo
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1396622882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

15455 CONWAY RD, Chesterfield, MO 63017

Other Providers at the Same Location NPPES 11

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

Student in an Organized Health Care Education/Training Program
15455 CONWAY RD
CHESTERFIELD, MO 63017
Counselor (Professional)
15455 CONWAY RD
CHESTERFIELD, MO 63017
Counselor (Mental Health)
15455 CONWAY RD
CHESTERFIELD, MO 63017
Counselor (Mental Health)
15455 CONWAY RD
CHESTERFIELD, MO 63017
Marriage & Family Therapist
15455 CONWAY RD
CHESTERFIELD, MO 63017
Counselor
15455 CONWAY RD
CHESTERFIELD, MO 63017
Clinic/Center (Adult Mental Health)
15455 CONWAY RD
CHESTERFIELD, MO 63017
Counselor (Professional)
15455 CONWAY RD
CHESTERFIELD, MO 63017

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 Ethan Timm's NPI number?

The NPI number for Ethan Timm is 1396622882. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Where is Ethan Timm located?

Ethan Timm practices at 15455 Conway Rd, Chesterfield, MO 63017. The listed phone number is (636) 675-7566.

What is Ethan Timm's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Ethan Timm was last updated on August 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.