Individual provider Active NPI

Gabrielle Christina Krus-Whiteside, MA, LPC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1033684923
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018002534 Issued in MO
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 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 Former name

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018002534MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC Professional CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.