Individual provider Active NPI

Anna Sophia Peabody, PLMFT

  • Marriage & Family Therapist
  • Chesterfield, MO
National Provider Identifier
1073207262
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2023000559 Issued in MO
Practice address
15455 Conway Rd Ste 345
Chesterfield, MO 63017-6033
Phone
(636) 675-7566
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2023000559 MO Primary

Addresses

Primary practice location

15455 Conway Rd Ste 345
Chesterfield, MO 63017-6033

Mailing address

4317 Lindell Blvd Apt G
Saint Louis, MO 63108-2779
Phone (858) 353-3590

Other practice location 1

5 Premier Dr Ste 200
Fenton, MO 63026-2943
Phone (314) 544-3800

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

State licenses

LicenseStateTypeSpecialty
2023000559MOMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Counseling Associates, LLC PastSince Jun 11, 2023 Accepting new patients
Catholic Family Services Inc. Past Accepting new patients
St Louis Counseling Inc PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1073207262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 LINDELL BLVD APT G",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082779",
            "telephone_number": "858-353-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 CONWAY RD STE 345",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176033",
            "telephone_number": "636-675-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Premier Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262943",
            "country_code": "US",
            "telephone_number": "314-544-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "ANNA",
        "middle_name": "SOPHIA",
        "credential": "PLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2023000559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.