Active NPI
Gerald Bentley, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1124565833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013002018
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0441047 | MO | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.