Individual provider Active NPI

Linda Luecke, LPC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1174636625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002636 Issued in MO
Practice address
4561 S Compton Ave
Saint Louis, MO 63111-1554
Phone
(314) 352-1770
Fax
(314) 351-2940
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002636 MO Primary

Addresses

Primary practice location

4561 S Compton Ave
Saint Louis, MO 63111-1554

Mailing address

4561 S Compton Ave
Saint Louis, MO 63111-1554
Phone (314) 352-1770

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
I20260212000339 MO Practitioner - Mental Health Counselor 7113406851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tim Bizelli Counseling LLCGroup PAC ID 8820535081, 4 clinicians

Practice addresses (Care Compare)

5933 S Hwy 94
Suite 101
Weldon Spring, MO 63304-5608
Phone (636) 345-1106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002636MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Bizelli Counseling LLC CurrentSince Dec 22, 2025 Accepting new patients

Locations

5933 S Highway 94
Ste 101
Weldon Spring, MO 63304
Phone (636) 345-1106

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, 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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174636625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111554",
            "telephone_number": "314-352-1770",
            "fax_number": "314-351-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111554",
            "telephone_number": "314-352-1770",
            "fax_number": "314-351-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUECKE",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "002636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.