Abbie Marie Velders

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2011033932 Issued in MO

Practice address

2850 W Clay St
Suite 255
Saint Charles, MO 63301-2573

Phone

(314) 578-4788

NPI assigned

Oct 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Abbie Marie Mulitsch 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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1073898557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TREMAINE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633047541",
            "telephone_number": "314-578-4788",
            "fax_number": "636-925-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W CLAY ST",
            "address_2": "SUITE 255",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012573",
            "telephone_number": "314-578-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDERS",
        "first_name": "ABBIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011033932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBIE",
            "last_name": "MULITSCH",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.