Active NPI
Kari Kay Englund-Moreton
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1043717762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2018009366
- Practice address
- 3109 S Grand Blvd Ste K
Saint Louis, MO 63118-1039 - Phone
- (618) 515-5656
- NPI assigned
- Apr 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2018009366 | MO | |
| Clinical Social Worker | 1041C0700X | 2018009366 | MO | Primary |
Addresses
Primary practice location
3109 S Grand Blvd Ste K
Saint Louis, MO 63118-1039
Mailing address
429 Orchard CT
Troy, IL 62294-1098
Phone (618) 444-5893
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 |
|---|---|---|---|
| 2018009366 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1043717762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 ORCHARD CT",
"city": "TROY",
"state": "IL",
"postal_code": "622941098",
"telephone_number": "618-444-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 S GRAND BLVD STE K",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631181039",
"telephone_number": "618-515-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLUND-MORETON",
"first_name": "KARI",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2018009366",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2018009366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.