Active NPI
Ericka Renee Cables
- Professional Counselor
- Bridgeton, MO
National Provider Identifier
1013367804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015030521
- Practice address
- 11520 Saint Charles Rock Rd Ste 101
Bridgeton, MO 63044-2732 - Phone
- (314) 312-2551
- Fax
- (314) 227-9331
- NPI assigned
- Jun 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2015030521 | MO | Primary |
| Mental Health Counselor | 101YM0800X | 2015030521 | MO |
Addresses
Primary practice location
11520 Saint Charles Rock Rd Ste 101
Bridgeton, MO 63044-2732
Mailing address
2553 Hackman Dr
Saint Louis, MO 63136-5836
Phone (314) 704-8190
Other practice location 1
737 Dunn Rd Ste 103
Hazelwood, MO 63042-1740
Phone (314) 312-2551
Other names 1
- Ericka Renee Bassett
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 |
|---|---|---|---|
| 2015030521 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thoughts Out Loud Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
11520 Saint Charles Rock Rd
Ste 101
Bridgeton, MO 63044
Phone (314) 312-2551
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": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1013367804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2553 HACKMAN DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631365836",
"telephone_number": "314-704-8190",
"fax_number": "314-227-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11520 SAINT CHARLES ROCK RD STE 101",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442732",
"telephone_number": "314-312-2551",
"fax_number": "314-227-9331"
}
],
"practiceLocations": [
{
"address_1": "737 Dunn Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Hazelwood",
"state": "MO",
"postal_code": "630421740",
"country_code": "US",
"telephone_number": "314-312-2551",
"fax_number": "314-227-9331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABLES",
"first_name": "ERICKA",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015030521",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2015030521",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICKA",
"last_name": "BASSETT",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.