Active NPI
Medelyn Yolanda Sullivan Minor, LPC
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1033434584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005009307
- 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, 2025
- 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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005009307 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veria Counseling, LLC | Professional | Current | Accepting new patients |
| Veria Counseling Hope Center | Current | Accepting new patients | |
| Heart's Counsel | Professional | Current | Accepting new patients |
| Veria Counseling Center | Professional | Past | 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.
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- Professional Counselor
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.