Individual provider Active NPI

Stephanie C Korpal, M.ED.

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1114297363
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2011039350 Issued in MO
Practice address
6816 Washington Ave
Saint Louis, MO 63130-4628
Phone
(314) 222-4872
NPI assigned
Jan 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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 2011039350 MO Primary

Addresses

Primary practice location

6816 Washington Ave
Saint Louis, MO 63130-4628

Mailing address

7527 Wise Ave
Apartment B
Saint Louis, MO 63117-1538
Phone (314) 323-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 27, 2024 through Mar 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2011039350MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marble Wellness Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1114297363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 WISE AVE",
            "address_2": "APARTMENT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171538",
            "telephone_number": "314-323-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 WASHINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304628",
            "telephone_number": "314-222-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORPAL",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011039350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.