Active NPI
Brittany Panus, MA,LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1154174357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2022030453
- Practice address
- 12818 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2945 - Phone
- (314) 912-4655
- NPI assigned
- Apr 8, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2022030453 | MO | Primary |
Addresses
Primary practice location
12818 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2945
Mailing address
169 County Road 545
Jackson, MO 63755-7180
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mypathtoself Inc. | Current | Accepting new patients |
Locations
12818 Tesson Ferry Rd
Ste 103
Saint Louis, MO 63128
Phone (314) 912-4655
2464 Taylor Rd
Wildwood, MO 63040
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": "1712534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1154174357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 COUNTY ROAD 545",
"city": "JACKSON",
"state": "MO",
"postal_code": "637557180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12818 TESSON FERRY RD STE 103",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282945",
"telephone_number": "314-912-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANUS",
"first_name": "BRITTANY",
"credential": "MA,LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-08",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2022030453",
"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 Aug 29, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.