Active NPI
Lauren Bialecki, PHD, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1104008341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2006004870
- Practice address
- 9450 Manchester Rd
Saint Louis, MO 63119-1452 - Phone
- (314) 504-1541
- Fax
- (314) 963-0393
- NPI assigned
- Nov 29, 2007
- 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 | 2006004870 | MO | Primary |
Addresses
Primary practice location
9450 Manchester Rd
Saint Louis, MO 63119-1452
Mailing address
9450 Manchester Rd
Saint Louis, MO 63119-1452
Phone (314) 504-1541
Other names 1
- Lauren Qualy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 26, 2024 through Apr 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006004870 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1104008341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191452",
"telephone_number": "314-504-1541",
"fax_number": "314-963-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191452",
"telephone_number": "314-504-1541",
"fax_number": "314-963-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIALECKI",
"first_name": "LAUREN",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2006004870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "QUALY",
"credential": "PHD, LPC",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 14, 2013; 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.