Provider Demographics
NPI:1366587032
Name:GELLINGS, JEANNE BEA (LPC)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:BEA
Last Name:GELLINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:BUBENIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 OLD SOUTH RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-4120
Mailing Address - Country:US
Mailing Address - Phone:636-224-1210
Mailing Address - Fax:636-246-1008
Practice Address - Street 1:8333 E BLUE PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64133-4750
Practice Address - Country:US
Practice Address - Phone:816-474-7677
Practice Address - Fax:816-767-7671
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO002670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional