Active NPI
Emily Claire Donovan, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1093354979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3 The Pines CT Ste B
Saint Louis, MO 63141-6081 - Phone
- (618) 310-6221
- NPI assigned
- Dec 25, 2019
- Last updated
- Dec 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
3 The Pines CT Ste B
Saint Louis, MO 63141-6081
Mailing address
2860 Keswick CT
Swansea, IL 62226-5986
Phone (618) 310-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 23, 2024 through Jul 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577232000000",
"number": "1093354979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 KESWICK CT",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622265986",
"telephone_number": "618-310-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 THE PINES CT STE B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416081",
"telephone_number": "618-310-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "EMILY",
"middle_name": "CLAIRE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-25",
"last_updated": "2019-12-25",
"certification_date": "2019-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.