Lillian Sarah Pernoud, MED, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2018028630 Issued in MO

Practice address

734 Chancellor Heights Dr
Manchester, MO 63011-3577

Phone

(314) 660-1015

NPI assigned

Jul 29, 2020

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lillian Sarah Strand Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1154930600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 CHANCELLOR HEIGHTS DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113577",
            "telephone_number": "314-660-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 CHANCELLOR HEIGHTS DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113577",
            "telephone_number": "314-660-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNOUD",
        "first_name": "LILLIAN",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "MED, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018028630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAN",
            "last_name": "STRAND",
            "middle_name": "SARAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Manchester, MO
• Providers in Manchester, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.