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

Nystrom Counseling Mo, PC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1184401762

Nystrom Counseling Mo, PC is a Mental Health Clinic/Center (Including Community Mental Health Center) in O Fallon, Missouri. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

801 S Woodlawn Ave Ste 16
O Fallon, MO 63366-7647
Phone: (636) 379-1779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1184401762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Eiden — Vp Of Corporate Services · (651) 379-1750
Other names Sagent Behavioral Health
NPI enumeratedSeptember 8, 2023
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789

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