Active NPI
Lillian Carl, PLPC
- Professional Counselor
- Florissant, MO
National Provider Identifier
1083170419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018039740
- Practice address
- 11701 W Florissant Ave
Florissant, MO 63033-6744 - Phone
- (314) 972-8132
- Fax
- (314) 830-2565
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2018039740 | MO | Primary |
Addresses
Primary practice location
11701 W Florissant Ave
Florissant, MO 63033-6744
Mailing address
118 N 2ND St
Saint Charles, MO 63301-2832
Phone (636) 224-1210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018039740 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1083170419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N 2ND ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012832",
"telephone_number": "636-224-1210",
"fax_number": "636-946-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 W FLORISSANT AVE",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630336744",
"telephone_number": "314-972-8132",
"fax_number": "314-830-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARL",
"first_name": "LILLIAN",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018039740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.