Individual provider Active NPI

Cari Nelson, LPC

  • Mental Health Counselor
  • Des Peres, MO
National Provider Identifier
1043809007
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2020032707 Issued in MO
Practice address
12882 Manchester Rd Ste 204
Des Peres, MO 63131-1858
Phone
(314) 301-9099
NPI assigned
Jan 14, 2021
Last updated
Jan 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2020032707 MO Primary

Addresses

Primary practice location

12882 Manchester Rd Ste 204
Des Peres, MO 63131-1858

Mailing address

1463 Cantwell LN Apt 5
Swansea, IL 62226-2164
Phone (314) 409-6765

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
I20251008003120 MO Practitioner - Mental Health Counselor 2062919756 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10820 Sunset Office Dr
Suite 204
Saint Louis, MO 63127-1030
Phone (314) 409-6754

1463 Cantwell LN
Apt 5
Swansea, IL 62226-2164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1043809007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 CANTWELL LN APT 5",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262164",
            "telephone_number": "314-409-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12882 MANCHESTER RD STE 204",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311858",
            "telephone_number": "314-301-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CARI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020032707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Peres, MO

Sources for this page

Verify at the official NPI Registry.