Gina Claire Roggow, LPC | |
16216 Baxton Rd St. Louis Behavioral Medicine Institute, 16216 Baxton Rd Suite 205, Chesterfield, MO 63017 | |
(314) 534-0200 | |
Not Available |
Full Name | Gina Claire Roggow |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 16216 Baxton Rd St. Louis Behavioral Medicine Institute, Chesterfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518497445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 2014044598 (Missouri) | Primary |
Entity Name | St. Louis Behavioral Medicine Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487732335 PECOS PAC ID: 3173428638 Enrollment ID: O20031223000497 |
Mailing Address | Practice Location Address |
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Gina Claire Roggow, LPC 1129 Macklind Ave. - Mary Steele, 1129 Macklind Ave., St. Louis, MO 63110 Ph: (314) 534-0200 | Gina Claire Roggow, LPC 16216 Baxton Rd St. Louis Behavioral Medicine Institute, 16216 Baxton Rd Suite 205, Chesterfield, MO 63017 Ph: (314) 534-0200 |
Timothy Joseph Dalaviras, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15235 Brightfield Manor Dr, Chesterfield, MO 63017 Phone: 636-537-5440 | |
Mrs. Erin Elizabeth Mcbride, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 N. Outer 40 Rd., Ste 212, Chesterfield, MO 63005 Phone: 314-645-6840 | |
Mr. Thomas Bryon Lewis, M.ED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr, Ste 308, Chesterfield, MO 63017 Phone: 314-576-6493 Fax: 314-576-7319 | |
Richard Hinchsliff, MAC, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15063 Clayton Rd, Chesterfield, MO 63017 Phone: 636-779-0312 | |
John Easterling, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15063 Clayton Rd, Chesterfield, MO 63017 Phone: 636-394-7015 | |
Ms. Dawn C Bergman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr, Ste 308, Chesterfield, MO 63017 Phone: 314-576-6493 Fax: 314-576-7319 | |
Ms. Jody Hansen, M.A., L.P.C., N.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 14500 S Outer 40 Rd Ste 108, Chesterfield, MO 63017 Phone: 314-488-8798 |