Nystrom Counseling Mo, PC
NPI 1184401762 · Mental Health Clinic/Center (Including Community Mental Health Center) · O Fallon, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nystrom Counseling Mo, PC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in O Fallon, MO (NPI 1184401762).
Provider details
- NPI number
- 1184401762
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ann Eiden, Vp of Corporate Services(651) 379-1750
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Sagent Behavioral Health
Registry dates
- Enumerated
- 2023-09-08
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Nystrom Counseling Mo, PC's NPI number?
- Nystrom Counseling Mo, PC's National Provider Identifier (NPI) is 1184401762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nystrom Counseling Mo, PC?
- Nystrom Counseling Mo, PC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Nystrom Counseling Mo, PC located?
- Nystrom Counseling Mo, PC's practice location on file with NPPES is 801 S Woodlawn Ave Ste 16, O Fallon, MO 63366-7647.
- What is Nystrom Counseling Mo, PC's phone number?
- The practice phone number listed in the NPPES registry for Nystrom Counseling Mo, PC is (636) 379-1779.
- Does Nystrom Counseling Mo, PC accept Medicare?
- Nystrom Counseling Mo, PC 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 Nystrom Counseling Mo, PC?
- The authorized official listed on Nystrom Counseling Mo, PC's NPPES record is Ann Eiden, Vp of Corporate Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nystrom Counseling Mo, PC's NPI active?
- Yes — Nystrom Counseling Mo, PC's NPI (1184401762) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.