Individual provider Active NPI

Emily Marie Mancuso, PLPC, ATR-P

  • Professional Counselor
  • Kirkwood, MO
National Provider Identifier
1093605032
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2023042143 Issued in MO
Practice address
220 W Argonne Dr
Kirkwood, MO 63122-4240
Phone
(636) 288-3117
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 2023042143 MO Primary

Addresses

Primary practice location

220 W Argonne Dr
Kirkwood, MO 63122-4240

Mailing address

7024 Southland Ave Apt H
Saint Louis, MO 63109-3657
Phone (314) 606-4172

Other practice location 1

220 W Argonne Dr
Kirkwood, MO 63122-4240
Phone (636) 288-3117

Other practice location 2

220 W Argonne Dr
Kirkwood, MO 63122-4240
Phone (636) 288-3117

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

LicenseStateTypeSpecialty
2023042143MOMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1093605032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 SOUTHLAND AVE APT H",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093657",
            "telephone_number": "314-606-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W ARGONNE DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224240",
            "telephone_number": "636-288-3117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Argonne Dr",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631224240",
            "country_code": "US",
            "telephone_number": "636-288-3117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W Argonne Dr",
            "address_purpose": "LOCATION",
            "city": "Kirkwood",
            "state": "MO",
            "postal_code": "631224240",
            "country_code": "US",
            "telephone_number": "636-288-3117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "PLPC, ATR-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023042143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.