Active NPI
Stephanie Keune, LPC
- Professional Counselor
- Saint Peters, MO
National Provider Identifier
1003261777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013043231
- Practice address
- 2120 Parkway Drive
Bridgeway Behavioral Health
Saint Peters, MO 63376-6459 - Phone
- (636) 224-1163
- Fax
- (636) 925-1443
- NPI assigned
- Apr 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2013043231 | MO | Primary |
Addresses
Primary practice location
2120 Parkway Drive
Bridgeway Behavioral Health
Saint Peters, MO 63376-6459
Mailing address
2120 Parkway Drive
Bridgeway Behavioral Health
St. Peters, MO 63376
Phone (636) 224-1163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013043231 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1003261777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 PARKWAY DRIVE",
"address_2": "BRIDGEWAY BEHAVIORAL HEALTH",
"city": "ST. PETERS",
"state": "MO",
"postal_code": "63376",
"telephone_number": "636-224-1163",
"fax_number": "636-925-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 PARKWAY DRIVE",
"address_2": "BRIDGEWAY BEHAVIORAL HEALTH",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766459",
"telephone_number": "636-224-1163",
"fax_number": "636-925-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEUNE",
"first_name": "STEPHANIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2013043231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.