Individual provider Active NPI

Ericka Renee Cables

  • Professional Counselor
  • Bridgeton, MO
National Provider Identifier
1013367804
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015030521 Issued in MO
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

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
2015030521MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.