Stacey Anne Juengst, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2016001342 Issued in MO

Practice address

1000 Edgewater PT Ste 401
Lake St Louis, MO 63367-2954

Phone

(636) 442-2612

Fax

(636) 265-2905

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Stacey Juengst Counseling Services

  • Adult Mental Health Clinic/Center
  • Lake Saint Louis, MO
  • NPI 1548759251
  NPD Authorized official

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1114579422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 SUNBURST DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663434",
            "telephone_number": "636-362-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDGEWATER PT STE 401",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672954",
            "telephone_number": "636-442-2612",
            "fax_number": "636-265-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUENGST",
        "first_name": "STACEY",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2016001342",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016001342",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016001342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James H Hinrichs MD LLC
• Jeffrey S Glaser MD Facs LLC
• Jennifer Gandolfo
• Johnsons Enterprises Inc. (Senior Helpers)
• Jollie Fix LLC (Jollie Psychiatry and Wellness)
• Katrina Juskenas, DPT, PT
• Gihan A Kader, MD
• Claire Kelly
• Lindsay Kilwin
• Kimberly C Berni MD LLC

• Mental Health Counselor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.