Vicki L. McKiel, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009032722 Issued in MO

Practice address

820 Park Drive
Ste Genevieve, MO 63670-1566

Phone

(573) 883-7407

Fax

(573) 863-7537

NPI assigned

Aug 25, 2015

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Vicki L. Ambrose Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1063889061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PARK DRIVE",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701566",
            "telephone_number": "573-883-7407",
            "fax_number": "573-863-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PARK DRIVE",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701566",
            "telephone_number": "573-883-7407",
            "fax_number": "573-863-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIEL",
        "first_name": "VICKI",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009032722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "AMBROSE",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ginger G Luse, MCD,SLP-CCC
• Renee L. Luthy, PTA
• Erica K Mazurkiewicz, LPC
• Mary A McCullough, ANP
• Mark A McKenzie, R.PH
• Caitlin McMullen, OTR
• Dalles S Merriman
• Anthony James Meyer
• Callista Miller, SLP
• Seth Daniel Miller

• Professional Counselor in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.