Heather Lynn Bauer, MAC, LPC
Individual provider Active NPI Professional Counselor · Saint Louis, MO
NPI 1083928352 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1083928352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2010024364 (MO)
- Practice address
- 711 Old Ballas Rd Ste 203
Saint Louis, MO 63141-7069 - Phone
- (314) 806-1023
- NPI assigned
- Jul 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010024364 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Christian Counseling | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2010024364 | MO | Yes |
Addresses
Primary practice location
711 Old Ballas Rd Ste 203
Saint Louis, MO 63141-7069
Mailing address
639 Highview Circle Dr
Ballwin, MO 63021-7804
Phone (314) 605-1460
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010024364 | Other | MO | PROVISIONAL LICENSE NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | hbauer@sanalake.com | Direct | |
| Other URL | hbauer@sanalake.com | Direct |
Other providers in Saint Louis, MO
- Amy Marie Bauer
- Brian J Bauer
- Christopher E Bauer
- Daniel James Bauer
- Evangeline Mae Bauer
- Judy Bauer
- Laura Regina Bauer
- Nancy Bauer
- Raymond Bauer
- Stephanie Lee Bauer
All providers in Saint Louis, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.