Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kipp St Louis

Organization Counselor · NPI 1063374270

Kipp St Louis is a Counselor in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6

Practice location Address checks out

2647 Ohio Ave
Saint Louis, MO 63118-1533
Phone: (314) 349-1388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Local Education Agency (LEA) (primary) Taxonomy 251300000X
Counselor Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1063374270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julian Vizitei — Medicaid Cordinator · (573) 489-1662
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address2647 Ohio Ave, Saint Louis, MO 63118-1533

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