Individual provider Active NPI

Kristy Cobillas, MED, PLPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1134570757
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2014029979 Issued in MO
Practice address
9378 Olive Blvd
Suete 317
Saint Louis, MO 63132-3215
Phone
(314) 994-9344
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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 2014029979 MO Primary

Addresses

Primary practice location

9378 Olive Blvd
Suete 317
Saint Louis, MO 63132-3215

Mailing address

9378 Olive Blvd
Suete 317
Saint Louis, MO 63132-3215
Phone (314) 994-9344

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2014029979MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristy Cobillas LPC LLC Professional Current 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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1134570757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "SUETE 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-994-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 OLIVE BLVD",
            "address_2": "SUETE 317",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323215",
            "telephone_number": "314-994-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBILLAS",
        "first_name": "KRISTY",
        "credential": "MED, PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2014029979",
            "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 Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.