Individual provider Active NPI

Deanna Marie Stassi, M.A.

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1053377085
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
001697 Issued in MO
Practice address
11100 Mueller Rd
Suite 1
Saint Louis, MO 63123-6960
Phone
(314) 562-7796
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001697 MO Primary

Addresses

Primary practice location

11100 Mueller Rd
Suite 1
Saint Louis, MO 63123-6960

Mailing address

11100 Mueller Rd
Suite 1
Saint Louis, MO 63123-6960
Phone (314) 562-7796

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001697MOMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1053377085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 MUELLER RD",
            "address_2": "SUITE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236960",
            "telephone_number": "314-562-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 MUELLER RD",
            "address_2": "SUITE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236960",
            "telephone_number": "314-562-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASSI",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "001697",
            "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 Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.