Individual provider Active NPI

Vicki R. Bernard, PH.D, LMFT,LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1174685747
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CS001695 Issued in MO
Practice address
4144 Lindell Blvd
Suite 140
Saint Louis, MO 63108-2927
Phone
(314) 956-8100
Fax
(314) 389-8744
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CS001695 MO Primary
Marriage & Family Therapist 106H00000X MO

Addresses

Primary practice location

4144 Lindell Blvd
Suite 140
Saint Louis, MO 63108-2927

Mailing address

4144 Lindell Blvd
Suite 140
Saint Louis, MO 63108-2927
Phone (314) 956-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CS001695MOMDProfessional Counselor
200146694MOMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174685747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD",
            "address_2": "SUITE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082927",
            "telephone_number": "314-956-8100",
            "fax_number": "314-389-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD",
            "address_2": "SUITE 140",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082927",
            "telephone_number": "314-956-8100",
            "fax_number": "314-389-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "VICKI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LMFT,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "CS001695",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.