Psychotherapy LLC
NPI 1164203188 · Clinical Social Worker · Crystal City, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psychotherapy LLC is a Clinical Social Worker organization in Crystal City, MO (NPI 1164203188).
Provider details
- NPI number
- 1164203188
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Diana Blackwell, Clinical Social Worker(573) 315-5549
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 8135 Berry RdBonne Terre, MO 63628-4355Phone: (573) 315-5549
Registry dates
- Enumerated
- 2023-10-06
- Last updated
- 2025-05-14
- Certified
- 2025-05-07
Frequently asked questions
- What is Psychotherapy LLC's NPI number?
- Psychotherapy LLC's National Provider Identifier (NPI) is 1164203188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psychotherapy LLC?
- Psychotherapy LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Psychotherapy LLC located?
- Psychotherapy LLC's practice location on file with NPPES is 508 N Truman Blvd Ste F, Crystal City, MO 63019-1344.
- What is Psychotherapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Psychotherapy LLC is (636) 931-8784.
- Does Psychotherapy LLC accept Medicare?
- Psychotherapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psychotherapy LLC?
- The authorized official listed on Psychotherapy LLC's NPPES record is Diana Blackwell, Clinical Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psychotherapy LLC's NPI active?
- Yes — Psychotherapy LLC's NPI (1164203188) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.