Active NPI
Nadia Raza
- Professional Counselor
- Clayton, MO
National Provider Identifier
1043061013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2023015710
- Practice address
- 230 S Bemiston Ave Ste 920
Clayton, MO 63105-1997 - Phone
- (800) 353-6402
- NPI assigned
- Mar 28, 2024
- Last updated
- Apr 3, 2024
- 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 | 2023015710 | MO | Primary |
Addresses
Primary practice location
230 S Bemiston Ave Ste 920
Clayton, MO 63105-1997
Mailing address
3 S Mokane CT Apt 304
Saint Charles, MO 63303-4292
Phone (314) 614-0098
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2023015710 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Profectus Counseling, LLC | Current | Accepting new patients |
Locations
230 S Bemiston Ave
Ste 920
Saint Louis, MO 63105
Phone (314) 482-7510
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": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1043061013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 S MOKANE CT APT 304",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633034292",
"telephone_number": "314-614-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S BEMISTON AVE STE 920",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631051997",
"telephone_number": "800-353-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZA",
"first_name": "NADIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2023015710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.