Active NPI
Tana Clardy, NCC, LPC
- Counselor
- Saint Louis, MO
National Provider Identifier
1144558354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2009034575
- Practice address
- 7514 Big Bend Blvd
Saint Louis, MO 63119-2104 - Phone
- (314) 707-3756
- NPI assigned
- Nov 27, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2009034575 | MO | Primary |
Addresses
Primary practice location
7514 Big Bend Blvd
Saint Louis, MO 63119-2104
Mailing address
7514 Big Bend Blvd
Saint Louis, MO 63119-2104
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009034575 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1144558354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7514 BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631192104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7514 BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631192104",
"telephone_number": "314-707-3756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARDY",
"first_name": "TANA",
"credential": "NCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-27",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2009034575",
"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 Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.