Organization Active NPI

Level Up Counseling

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1063246353
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LEVEL UP COUNSELING
Practice address
74 Grasso PLZ
Saint Louis, MO 63123-3108
Phone
(618) 444-8021
NPI assigned
Aug 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Ashley M Diestelkamp (Rickert), LPC
Title
Owner
Phone
(618) 444-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

74 Grasso PLZ
Saint Louis, MO 63123-3108

Mailing address

4618 Seibert Ave
Saint Louis, MO 63123-5809
Phone (618) 444-8021

National Provider Directory

National Provider Directory

Locations

74 Grasso Plz
Saint Louis, MO 63123
Phone (314) 439-1429

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1063246353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 SEIBERT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631235809",
            "telephone_number": "618-444-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 GRASSO PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233108",
            "telephone_number": "618-444-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL UP COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "DIESTELKAMP (RICKERT)",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-444-8021",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Aug 28, 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.

Verify at the official NPI Registry.