Individual provider Active NPI

Daniel A Robb, MA, LPC

  • Professional Counselor
  • Troy, MO
National Provider Identifier
1043465719
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2006012620 Issued in MO
Practice address
395 Travis Blvd
Troy, MO 63379-2715
Phone
(636) 219-7524
NPI assigned
Nov 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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 2006012620 MO Primary

Addresses

Primary practice location

395 Travis Blvd
Troy, MO 63379-2715

Mailing address

395 Travis Blvd
Troy, MO 63379-2715
Phone (636) 219-7524

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
I20251105002859 MO Practitioner - Mental Health Counselor 4789174087 Practice locations: Saint Charles, MO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3115 Elm St
Saint Charles, MO 63301-4651
Phone (636) 219-7524

416 Concordia LN
Saint Charles, MO 63301-4608

PO Box
Suite 833
Monroe, VA 24574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006012620MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Behavioral Care, LLC Professional CurrentSince Nov 28, 2021 Accepting new patients

Locations

3115 Elm St
Saint Charles, MO 63301
Phone (636) 219-7524

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1043465719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 TRAVIS BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792715",
            "telephone_number": "636-219-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 TRAVIS BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792715",
            "telephone_number": "636-219-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-23",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2006012620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.