NPI Code Details Logo

NPI 1295857019

NPI 1295857019 : GILBERT R. ALLERHEILIGEN LCSW, LPC, LMFT : SAINT JAMES, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295857019
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GILBERT R. ALLERHEILIGEN LCSW, LPC, LMFT
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/04/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14600 COUNTY ROAD 3610 
-----------------------------------------------------
    City                 |    SAINT JAMES
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    65559-8100
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    573-265-7496
-----------------------------------------------------
    Fax                  |    573-265-7496
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    14600 COUNTY ROAD 3610 
-----------------------------------------------------
    City                 |    SAINT JAMES
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    65559-8100
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    573-265-7496
-----------------------------------------------------
    Fax                  |    573-265-7496
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    001241
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    000327
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    300048
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.