Individual provider Active NPI

Katherine Ann Brunson, MA, LPC

  • Professional Counselor
  • Weldon Spring, MO
National Provider Identifier
1144867300
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018030572 Issued in MO
Practice address
520 Huber Park CT Ste 171
Weldon Spring, MO 63304-8666
Phone
(636) 344-9953
NPI assigned
Dec 6, 2019
Last updated
May 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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 2018030572 MO Primary

Addresses

Primary practice location

520 Huber Park CT Ste 171
Weldon Spring, MO 63304-8666

Mailing address

520 Huber Park CT Ste 171
Weldon Spring, MO 63304-8666
Phone (636) 344-9953

Other practice location 1

400 N 5th St Ste 201
Saint Charles, MO 63301-1808
Phone (636) 238-2615

Other practice location 2

1310 Hrc Plaza Dr
Lake Saint Louis, MO 63367-1869
Phone (636) 339-4475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127002631 MO Practitioner - Mental Health Counselor 7012365380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Hopeways Counseling LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

1310 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 277-9890

400 N 5th St
Ste 201
Saint Charles, MO 63301
Phone (636) 238-2615

520 Huber Park Ct
Ste 171
Weldon Spring, MO 63304
Phone (636) 344-9953

237 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 202-1412

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1144867300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HUBER PARK CT STE 171",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633048666",
            "telephone_number": "636-344-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HUBER PARK CT STE 171",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633048666",
            "telephone_number": "636-344-9953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 5th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633011808",
            "country_code": "US",
            "telephone_number": "636-238-2615",
            "fax_number": "636-201-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Hrc Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Saint Louis",
            "state": "MO",
            "postal_code": "633671869",
            "country_code": "US",
            "telephone_number": "636-339-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018030572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

Verify at the official NPI Registry.