Individual provider Active NPI

Hope Missey-Wodarczyk, MA

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1053025841
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022019856 Issued in MO
Practice address
10199 Woodfield LN
Saint Louis, MO 63132-2922
Phone
(314) 736-1032
NPI assigned
Jan 6, 2023
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 2022019856 MO Primary

Addresses

Primary practice location

10199 Woodfield LN
Saint Louis, MO 63132-2922

Mailing address

612 State St
Belleville, IL 62220-2337

Other practice location 1

485 Wildwood Pkwy
Ballwin, MO 63011-2653
Phone (314) 252-8220

Other practice location 2

612 State St
Belleville, IL 62220-2337
Phone (618) 409-2997

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
I20250916003611 MO Practitioner - Mental Health Counselor 1052815735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2666 Piper Hills Dr
Belleville, IL 62221-3455

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Sep 8, 2025 Accepting new patients

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": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1053025841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 STATE ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10199 WOODFIELD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322922",
            "telephone_number": "314-736-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Wildwood Pkwy",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112653",
            "country_code": "US",
            "telephone_number": "314-252-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 State St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622202337",
            "country_code": "US",
            "telephone_number": "618-409-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISSEY-WODARCZYK",
        "first_name": "HOPE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022019856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.