OrganizationActive
Innovative Counseling Services, Inc
NPI 1083661334 · Clinical Social Worker · O Fallon, MO
Provider details
- NPI number
- 1083661334
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cynthia Eisenbeis, President(314) 484-6198
- License
- 2005040010 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1137 N Main St
O Fallon, MO 63366-1217
Phone: (314) 484-6198
Street-level locationGet directions
Mailing address
621 Bull Valley Dr
Saint Peters, MO 63304-8544
Other names (DBA / former)
- Doing business as
- Cynthia M. Eisenbeis
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.