Individual provider Active NPI

Medelyn Yolanda Sullivan Minor, LPC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1033434584
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005009307 Issued in MO
Practice address
1550 Wall St
Ste. 244
Saint Charles, MO 63303-3545
Phone
(314) 650-3905
Fax
(314) 890-2034
NPI assigned
Mar 27, 2010
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2005009307 MO Primary

Addresses

Primary practice location

1550 Wall St
Ste. 244
Saint Charles, MO 63303-3545

Mailing address

PO Box 190226
Saint Louis, MO 63119-6226
Phone (314) 650-3905

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
I20250618002260 MO Practitioner - Mental Health Counselor 9436660156 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005009307MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Veria Counseling, LLC Professional CurrentSince Apr 19, 2025 Accepting new patients
Veria Counseling Hope Center Current Accepting new patients
Heart's Counsel Professional Current Accepting new patients
Veria Counseling Center Professional PastSince Mar 24, 2025 Accepting new patients

Locations

1550 Wall St
Ste 244
Saint Charles, MO 63303
Phone (314) 650-3905

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1033434584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190226",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631196226",
            "telephone_number": "314-650-3905",
            "fax_number": "314-890-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 WALL ST",
            "address_2": "STE. 244",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033545",
            "telephone_number": "314-650-3905",
            "fax_number": "314-890-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "MEDELYN",
        "middle_name": "YOLANDA SULLIVAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-27",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005009307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.