Individual provider Active NPI

Zane Alan Maus

  • Counselor
  • O'Fallon, MO
National Provider Identifier
1073153698
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2017038616 Issued in MO
Practice address
311 S Main St Ste 100
O Fallon, MO 63366-2807
Phone
(636) 281-1990
NPI assigned
Jan 11, 2020
Last updated
Jan 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2017038616 MO Primary

Addresses

Primary practice location

311 S Main St Ste 100
O Fallon, MO 63366-2807

Mailing address

224 Sunset Villa Cir
O Fallon, MO 63366-2281
Phone (618) 979-0655

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
I20240106000375 MO Practitioner - Mental Health Counselor 1355792037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Counseling, IncGroup PAC ID 7214901289, 14 clinicians

Practice addresses (Care Compare)

311 S Main St
Suite 100
O Fallon, MO 63366-2807
Phone (636) 281-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Counseling Inc CurrentSince Jan 1, 2024 Accepting new patients
Catholic Family Services Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

5 Premier Dr
Ste 200
Fenton, MO 63026
Phone (314) 314-3800

311 S Main St
Ste 100
O Fallon, MO 63366
Phone (636) 281-1990

Organizations & group practices 2

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": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578700800000",
    "number": "1073153698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SUNSET VILLA CIR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662281",
            "telephone_number": "618-979-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MAIN ST STE 100",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662807",
            "telephone_number": "636-281-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUS",
        "first_name": "ZANE",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-11",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2017038616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.