Individual provider Active NPI

Gerald Bentley, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1124565833
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013002018 Issued in MO
Practice address
5910 Clifton Ave
Saint Louis, MO 63109-3407
Phone
(314) 352-1043
NPI assigned
Jan 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 0441047 MO
Professional Counselor 101YP2500X 2013002018 MO Primary

Addresses

Primary practice location

5910 Clifton Ave
Saint Louis, MO 63109-3407

Mailing address

7454 Grant Village Dr
Apt. a
Saint Louis, MO 63123-1434
Phone (314) 458-5798

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227001494 MO Practitioner - Mental Health Counselor 1052756384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0441047MOMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

2458 Old Dorsett Rd
Ste 110
Maryland Heights, MO 63043
Phone (314) 476-0732

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1124565833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7454 GRANT VILLAGE DR",
            "address_2": "APT. A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631231434",
            "telephone_number": "314-458-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CLIFTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093407",
            "telephone_number": "314-352-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "GERALD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-20",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": "0441047",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013002018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.