Haley M Koepp, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2018012799 Issued in MO

Practice address

763 S New Ballas Rd Ste 110
Saint Louis, MO 63141-8706

Phone

(314) 569-1717

Fax

(314) 569-0441

NPI assigned

May 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.haleykoepp@140753.advancedmd-direct.com

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  MO

  Medicare reassignment Care Compare group NPD
• Serenity Health LLC

  • Psychiatry Physician
  • Saint Peters, MO
  • NPI 1104569151
  Medicare reassignment NPD
• St. Louis Internal Medicine Inc

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1104856442
  NPD (past)

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1134618341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418706",
            "telephone_number": "314-569-1717",
            "fax_number": "314-569-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS RD STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418706",
            "telephone_number": "314-569-1717",
            "fax_number": "314-569-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Weldon Spring Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weldon Spring",
            "state": "MO",
            "postal_code": "633049101",
            "country_code": "US",
            "telephone_number": "314-441-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "763 S New Ballas Rd # 130310",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418704",
            "country_code": "US",
            "telephone_number": "314-292-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEPP",
        "first_name": "HALEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2018012799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hkoepp@bhsstl.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "763 S New Ballas Rd # 130310",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631418704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkoepp@bhsstl.com",
            "affiliation": "N",
            "address_1": "763 S New Ballas Rd Ste 110",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631418706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael G Koenig, M.D.
• Sara M Koenig, WHNP
• Shannon Kelly Koenigsfeld, PLPC
• Jeffrey R Koenitzer, MD
• Charlene Velma Koepke, CRNA
• Lisa A Koester-Wiedemann, ANP
• Rachel Koester, IBCLC
• Cathy Ware Koetting, CPNP, NP-C
• Julia Lynne Kofkoff, D.D.S.
• Lauren Kofron, LPC

• Psychiatric/Mental Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.