Individual provider Active NPI

Natasha Gayle Johnston, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1073263471
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020011985 Issued in MO
Practice address
10024 Office Center Ave Ste 100
Saint Louis, MO 63128-1392
Phone
(314) 729-7050
Fax
(314) 729-0920
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2020011985 MO Primary

Addresses

Primary practice location

10024 Office Center Ave Ste 100
Saint Louis, MO 63128-1392

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other practice location 1

900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962

Other practice location 2

1001 Lynch St
Saint Louis, MO 63118-1818
Phone (314) 535-5600

Other practice location 3

14426 S Outer 40 Rd
Town and Country, MO 63017-5711
Phone (636) 224-1300

Other names 1

  • Natasha Vander Weide Former name

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
I20251212000471 MO Practitioner - Mental Health Counselor 1759875107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2885 W Battlefield St
Springfield, MO 65807-3952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020011985MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Places for People, Inc. CurrentSince Dec 4, 2025 Accepting new patients
Preferred Family Healthcare, Inc. Professional PastSince Apr 3, 2022 Accepting new patients
Preferred Family Healthcare, Inc. PastSince Apr 3, 2022 Accepting new patients

Locations

1001 Lynch St
Saint Louis, MO 63118
Phone (314) 535-5600

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1073263471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 OFFICE CENTER AVE STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631281392",
            "telephone_number": "314-729-7050",
            "fax_number": "314-729-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Laharpe St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014520",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Lynch St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181818",
            "country_code": "US",
            "telephone_number": "314-535-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14426 S Outer 40 Rd",
            "address_purpose": "LOCATION",
            "city": "Town and Country",
            "state": "MO",
            "postal_code": "630175711",
            "country_code": "US",
            "telephone_number": "636-224-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "NATASHA",
        "middle_name": "GAYLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020011985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "VANDER WEIDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.