Individual provider Active NPI

Jenna Masters, MA

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1003587635
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021030439 Issued in MO
Practice address
140 Cliff Cave Rd Ste 200
Saint Louis, MO 63129-3646
Phone
(314) 827-8732
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2021030439 MO Primary

Addresses

Primary practice location

140 Cliff Cave Rd Ste 200
Saint Louis, MO 63129-3646

Mailing address

3127 Tuscan Valley Estates CT
Arnold, MO 63010-2505
Phone (314) 827-8732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616002944 MO Practitioner - Mental Health Counselor 0749752269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 Cliff Cave Rd
Suite 200
Saint Louis, MO 63129-3612

140 Cliff Cave Rd
Suite 200
Saint Louis, MO 63129-3646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2021030439MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lenz LPC LLC Professional CurrentSince Sep 28, 2021 Accepting new patients

Locations

140 Cliff Cave Rd
Ste 200
Saint Louis, MO 63129
Phone (314) 620-8291

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1003587635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 TUSCAN VALLEY ESTATES CT",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102505",
            "telephone_number": "314-827-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CLIFF CAVE RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293646",
            "telephone_number": "314-827-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "JENNA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021030439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.