=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497832380
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW BEGINNINGS COUNSELING, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2006
-----------------------------------------------------
Last Update Date | 02/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 745 CRAIG RD STE 102C
-----------------------------------------------------
City | CREVE COEUR
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63141-7122
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-712-1754
-----------------------------------------------------
Fax | 314-828-5163
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 141 E MADISON AVE APT 407
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63122-4331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-712-1754
-----------------------------------------------------
Fax | 314-828-5163
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PSYCHOLOGIST
-----------------------------------------------------
Name | MR. WILLIAM H KUNTZ
-----------------------------------------------------
Credential | LIC. PSYCH, LCSW
-----------------------------------------------------
Telephone | 314-712-1754
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 002855
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103TC1900X
-----------------------------------------------------
Taxonomy Name | Counseling Psychologist
-----------------------------------------------------
License Number | 01685
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------