OrganizationActive
Vine Life Counseling
NPI 1104382118 · Community/Behavioral Health Agency · Saint Louis, MO
Vine Life Counseling is a Community/Behavioral Health Agency organization in Saint Louis, MO (NPI 1104382118).
Provider details
- NPI number
- 1104382118
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alphonso Ivy, Owner Counselor(314) 420-4733
Specialties & taxonomies
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2310 S Grand Blvd
Saint Louis, MO 63104-1702
Phone: (314) 420-4733
Street-level locationGet directions
Mailing address
2310 S Grand Blvd
Saint Louis, MO 63104-1702
Registry dates
- Enumerated
- 2019-02-14
- Last updated
- 2019-02-14
Frequently asked questions
- What is Vine Life Counseling's NPI number?
- Vine Life Counseling's National Provider Identifier (NPI) is 1104382118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vine Life Counseling?
- Vine Life Counseling is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Vine Life Counseling located?
- Vine Life Counseling's practice location on file with NPPES is 2310 S Grand Blvd, Saint Louis, MO 63104-1702.
- What is Vine Life Counseling's phone number?
- The practice phone number listed in the NPPES registry for Vine Life Counseling is (314) 420-4733.
- Who is the authorized official for Vine Life Counseling?
- The authorized official listed on Vine Life Counseling's NPPES record is Alphonso Ivy, Owner Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vine Life Counseling's NPI active?
- Yes — Vine Life Counseling's NPI (1104382118) is active in the NPPES registry as of the last update on 2019-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.