Individual provider Active NPI

Kristin M Oparaji, MS, LPC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1124791843
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1012025391 Issued in MO
Practice address
3879 Cambridge Crossing Dr
Saint Charles, MO 63304-5007
Phone
(314) 479-1542
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MO
School Counselor 101YS0200X MO
Professional Counselor 101YP2500X 1012025391 MO Primary

Addresses

Primary practice location

3879 Cambridge Crossing Dr
Saint Charles, MO 63304-5007

Mailing address

3879 Cambridge Crossing Dr
Saint Charles, MO 63304-5007
Phone (314) 479-1542

Other practice location 1

11102 Lindbergh Business Ct
Saint Louis, MO 63123-7810
Phone (314) 206-3400

Other names 1

  • Kristin M Wilmes Former name

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
I20241025002174 MO Practitioner - Mental Health Counselor 6103359369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1012025391MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Good Living Counseling Professional CurrentSince Aug 25, 2024 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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1124791843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 CAMBRIDGE CROSSING DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633045007",
            "telephone_number": "314-479-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 CAMBRIDGE CROSSING DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633045007",
            "telephone_number": "314-479-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11102 Lindbergh Business Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631237810",
            "country_code": "US",
            "telephone_number": "314-206-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPARAJI",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "1012025391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WILMES",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.