Innovative Counseling Services, INC
Social Worker, Clinical in O Fallon, MO. Organization (NPI-2).
NPI number1083661334
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083661334
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Counseling Services, INC
- Organization subpart
- No
- Enumeration date
- May 30, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2005040010 | MO | Yes |
Other names
- Cynthia M. Eisenbeis (Doing Business As)
Practice location
1137 N Main StO Fallon, MO 63366-1217
Phone 314-484-6198
Mailing address
621 Bull Valley DrSaint Peters, MO 63304-8544
Phone 314-484-6198
Authorized official
Cynthia Marie Eisenbeis
President
3144846198
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