Active NPI
Stephanie Whitney Jategaonkar, MA, LPC, ATR-BC
- Professional Counselor
- Creve Coeur, MO
National Provider Identifier
1144394271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2004032922
- Practice address
- 425 N New Ballas Rd Ste 285
Creve Coeur, MO 63141-6877 - Phone
- (314) 266-8280
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 2004032922 | MO | |
| Professional Counselor | 101YP2500X | 2004032922 | MO | Primary |
Addresses
Primary practice location
425 N New Ballas Rd Ste 285
Creve Coeur, MO 63141-6877
Mailing address
638 Hollywood PL
Saint Louis, MO 63119-3521
Phone (314) 504-3762
Other practice location 1
12141 LaDue Rd
Saint Louis, MO 63141-8120
Phone (314) 336-1097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004032922 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1144394271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "638 HOLLYWOOD PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631193521",
"telephone_number": "314-504-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD STE 285",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416877",
"telephone_number": "314-266-8280"
}
],
"practiceLocations": [
{
"address_1": "12141 LaDue Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418120",
"country_code": "US",
"telephone_number": "314-336-1097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JATEGAONKAR",
"first_name": "STEPHANIE",
"middle_name": "WHITNEY",
"credential": "MA, LPC, ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "MO",
"license": "2004032922",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2004032922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.