Active NPI
Mirranda Cardinali
- Professional Counselor
- Fenton, MO
National Provider Identifier
1124503271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018006449
- Practice address
- 1736 Westpark Ctr Dr Ste 100
Fenton, MO 63026-1916 - Phone
- (636) 600-0446
- Fax
- (636) 660-2262
- NPI assigned
- Sep 25, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 2018006449 | MO | |
| Professional Counselor | 101YP2500X | 2018006449 | MO | Primary |
Addresses
Primary practice location
1736 Westpark Ctr Dr Ste 100
Fenton, MO 63026-1916
Mailing address
1736 Westpark Ctr Dr Ste 100
Fenton, MO 63026-1916
Phone (636) 600-0446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251114000554 | MO | Practitioner - Mental Health Counselor | 3779074034 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1736 Westpark Ctr Dr
Suite 100
Fenton, MO 63026-1916
Phone (636) 600-0446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018006449 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osage Valley Counseling LLC | Professional | Current | Accepting new patients |
Locations
1736 W Park Center Dr
Ste 100
Fenton, MO 63026
Phone (636) 600-0446
320 Gravois Rd
Ste 210
Fenton, MO 63026
Phone (314) 467-0373
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": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1124503271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 WESTPARK CTR DR STE 100",
"city": "FENTON",
"state": "MO",
"postal_code": "630261916",
"telephone_number": "636-600-0446",
"fax_number": "636-660-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 WESTPARK CTR DR STE 100",
"city": "FENTON",
"state": "MO",
"postal_code": "630261916",
"telephone_number": "636-600-0446",
"fax_number": "636-660-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDINALI",
"first_name": "MIRRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "MO",
"license": "2018006449",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018006449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.