Individual provider Active NPI

Angela Lee Skurtu, LMFT

  • Mental Health Counselor
  • Ballwin, MO
National Provider Identifier
1124288220
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2011031894 Issued in MO
Practice address
13610 Barrett Office Drive Suite 214
St. Louis Marriage Therapy, Angela Skurtu
Ballwin, MO 63021-7818
Phone
(314) 973-7997
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 2011031894 MO Primary

Addresses

Primary practice location

13610 Barrett Office Drive Suite 214
St. Louis Marriage Therapy, Angela Skurtu
Ballwin, MO 63021-7818

Mailing address

13610 Barrett Office Drive
Suite 214
Ballwin, MO 63021-7818
Phone (314) 973-7997

Other names 1

  • Mrs. Angela Lee Murray Former name

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
2011031894MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Louis Marriage Therapy, LLC Mental Health Past 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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1124288220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 BARRETT OFFICE DRIVE",
            "address_2": "SUITE 214",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217818",
            "telephone_number": "314-973-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 BARRETT OFFICE DRIVE SUITE 214",
            "address_2": "ST. LOUIS MARRIAGE THERAPY, ANGELA SKURTU",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217818",
            "telephone_number": "314-973-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKURTU",
        "first_name": "ANGELA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011031894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MURRAY",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.