Michael Mason, LPC
Individual provider Active NPI Professional Counselor · Saint Ann, MO
NPI 1154900975 · NPPES record last updated Apr 28, 2024
Key facts
- NPI
- 1154900975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2021011824 (MO)
- Practice address
- 3106 Pearl Harbor Dr
Saint Ann, MO 63074-3809 - Phone
- (314) 683-0278
- NPI assigned
- Apr 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Saint Ann, MO 63074
Phone (314) 705-8772
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206000588 | MO | Practitioner - Mental Health Counselor | 0143679902 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021011824 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Counseling of Missouri, LLC | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2021011824 | MO | Yes |
Addresses
Primary practice location
3106 Pearl Harbor Dr
Saint Ann, MO 63074-3809
Mailing address
3106 Pearl Harbor Dr
Saint Ann, MO 63074-3809
Phone (314) 683-0278
Other practice location 1
227 Metro Dr
Jefferson City, MO 65109-1134
Phone (888) 403-1071
Other providers in Saint Ann, MO
- Carla Leigh Kurth
- Tinika Loggins
- Loving Care Home Care Service LLC
- Luxottica Retail North America Inc
- Lynnangels Inc
- Jasmine Matthews
- Medicine Shoppe
- Brenda Mills
- Kathryn Moffat
- Monaco & Badihi DDS PC
All providers in Saint Ann, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.