Individual provider Active NPI

Cindy Sue Georgie, LPC

  • Professional Counselor
  • Saint Peters, MO
National Provider Identifier
1134501281
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015016668 Issued in MO
Practice address
150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653
Phone
(636) 466-8497
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015016668 MO Primary

Addresses

Primary practice location

150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653

Mailing address

150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653
Phone (636) 466-8497

Other practice location 1

681 S Lincoln Dr
Suite 3
Troy, MO 63379-2835
Phone (636) 528-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015016668MOMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1134501281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAINT PETERS CENTRE BLVD STE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761653",
            "telephone_number": "636-466-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT PETERS CENTRE BLVD STE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761653",
            "telephone_number": "636-466-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 S Lincoln Dr",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633792835",
            "country_code": "US",
            "telephone_number": "636-528-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGIE",
        "first_name": "CINDY",
        "middle_name": "SUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015016668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.