Active NPI
Gabrielle Christina Krus-Whiteside, MA, LPC
- Professional Counselor
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018002534
- Practice address
- 400 N 5TH St Ste 201
Saint Charles, MO 63301-1808 - Phone
- (636) 277-9890
- NPI assigned
- Oct 8, 2018
- Last updated
- Dec 15, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2018002534 | MO | Primary |
Addresses
Primary practice location
400 N 5TH St Ste 201
Saint Charles, MO 63301-1808
Mailing address
1457 Bali CT
Saint Louis, MO 63126-1607
Phone (314) 596-7046
Other practice location 1
140 Prospect Ave Ste O
Saint Louis, MO 63122-6074
Phone (314) 226-1765
Other names 1
- Ms. Gabrielle Christina Krus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018002534 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A W Stevenson LLC | Professional | Current | Accepting new patients |
Locations
1310 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 277-9890
400 N 5th St
Ste 201
Saint Charles, MO 63301
Phone (636) 238-2615
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, 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": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1033684923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 BALI CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631261607",
"telephone_number": "314-596-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 5TH ST STE 201",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633011808",
"telephone_number": "636-277-9890"
}
],
"practiceLocations": [
{
"address_1": "140 Prospect Ave Ste O",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631226074",
"country_code": "US",
"telephone_number": "314-226-1765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUS-WHITESIDE",
"first_name": "GABRIELLE",
"middle_name": "CHRISTINA",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018002534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIELLE",
"last_name": "KRUS",
"middle_name": "CHRISTINA",
"prefix": "MS.",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 15, 2023; 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.