| St Louis Counseling Inc | |
|
5 Premier Dr Ste 200 Fenton MO 63026-2943 | |
| (314) 544-3800 | |
| (314) 843-0552 |
| Full Name | St Louis Counseling Inc |
|---|---|
| Speciality | Voluntary or Charitable |
| Location | 5 Premier Dr Ste 200, Fenton, Missouri |
| Authorized Official Name and Position | Dawn Winkler (CHIEF FINANCE OFFICER) |
| Authorized Official Contact | 3147485654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Louis Counseling Inc 5 Premier Dr Ste 200 Fenton MO 63026-2943 Ph: (314) 544-3800 | St Louis Counseling Inc 5 Premier Dr Ste 200 Fenton MO 63026-2943 Ph: (314) 544-3800 |
| NPI Number | 1053397133 |
|---|---|
| Provider Enumeration Date | 12/20/2005 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 7214901289 |
|---|---|
| Medicare Enrollment ID | O20040907000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053397133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (Missouri) | Primary |
| Provider Name | Carolyn A Zacarian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760453104 PECOS PAC ID: 7517917586 Enrollment ID: I20050127000275 |
| Provider Name | Nathan Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427194299 PECOS PAC ID: 4880769017 Enrollment ID: I20080821000556 |
| Provider Name | David B Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023022126 PECOS PAC ID: 0941264535 Enrollment ID: I20100601000583 |
| Provider Name | Mary Anne E Iorio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346211786 PECOS PAC ID: 0749306090 Enrollment ID: I20100924000148 |
| Provider Name | Sara N Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255770194 PECOS PAC ID: 6709010929 Enrollment ID: I20131001000511 |
| Provider Name | Byron Devrouax |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063722296 PECOS PAC ID: 0042438194 Enrollment ID: I20140902001860 |
| Provider Name | Katie Ingebretson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366725277 PECOS PAC ID: 8224358833 Enrollment ID: I20150521002669 |
| Provider Name | Judson R Bliss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750587739 PECOS PAC ID: 5991085011 Enrollment ID: I20161207001858 |
| Provider Name | Angela Casimere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336687672 PECOS PAC ID: 8628354495 Enrollment ID: I20170410000923 |
| Provider Name | Kelly L Degeare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568908036 PECOS PAC ID: 9537432612 Enrollment ID: I20170912002437 |
| Provider Name | Jessica Ann Newby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336626738 PECOS PAC ID: 5092059238 Enrollment ID: I20181129001000 |
| Provider Name | Judith M Niehaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841771342 PECOS PAC ID: 1153656046 Enrollment ID: I20190715003030 |
| Provider Name | Sandra K Freiburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194940007 PECOS PAC ID: 3870828528 Enrollment ID: I20190717002286 |
| Provider Name | Tammy Lebrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508324351 PECOS PAC ID: 6002147402 Enrollment ID: I20191016002832 |
| Provider Name | Debra Bianchi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205281516 PECOS PAC ID: 6002246923 Enrollment ID: I20200416003099 |
| Provider Name | Rebecca Esther Merritt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164518304 PECOS PAC ID: 0042612848 Enrollment ID: I20210716000256 |
| Provider Name | Rebecca M. Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821687567 PECOS PAC ID: 5496153587 Enrollment ID: I20211004001739 |
| Provider Name | Erin Schnurbusch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790481547 PECOS PAC ID: 8123490380 Enrollment ID: I20230216000953 |
| Provider Name | Laura C Downing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073183331 PECOS PAC ID: 3072968361 Enrollment ID: I20231005002595 |
| Provider Name | Kathleen Mcdonough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538943600 PECOS PAC ID: 6901251511 Enrollment ID: I20231017000397 |
| Provider Name | Martina Hammond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831515956 PECOS PAC ID: 8123477981 Enrollment ID: I20231206000658 |
| Provider Name | Sharon Denise Lander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609580828 PECOS PAC ID: 1850740416 Enrollment ID: I20231208000935 |
| Provider Name | Judson R Bliss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750587739 PECOS PAC ID: 5991085011 Enrollment ID: I20231221001151 |
| Provider Name | William Lagrand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003118308 PECOS PAC ID: 1850741182 Enrollment ID: I20231228001004 |
| Provider Name | Zane Alan Maus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073153698 PECOS PAC ID: 1355792037 Enrollment ID: I20240106000375 |
| Provider Name | Samantha Jo Devine |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669021457 PECOS PAC ID: 5193176683 Enrollment ID: I20240109003138 |
| Provider Name | Renee Gunterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700430675 PECOS PAC ID: 1759733777 Enrollment ID: I20240116000847 |
| Provider Name | Maria M Watkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588736664 PECOS PAC ID: 5193177624 Enrollment ID: I20240119001745 |
| Provider Name | Nicole M Book |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467995571 PECOS PAC ID: 7911359286 Enrollment ID: I20240123001170 |
| Provider Name | Bonnie L Hotz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295179588 PECOS PAC ID: 2567815509 Enrollment ID: I20240126000291 |
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