Active NPI
Machalene Jeanette Smith-Butler
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1184303935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2023028287
- Practice address
- 1811 Sherman Dr Ste 3
Saint Charles, MO 63303-3976 - Phone
- (636) 493-0016
- Fax
- (888) 977-3461
- NPI assigned
- Jul 17, 2023
- Last updated
- Jul 17, 2023
- 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 | 2023028287 | MO | Primary |
Addresses
Primary practice location
1811 Sherman Dr Ste 3
Saint Charles, MO 63303-3976
Mailing address
8616 Oriole Ave
Saint Louis, MO 63147-1306
Phone (314) 276-1725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023028287 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1184303935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 ORIOLE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631471306",
"telephone_number": "314-276-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 SHERMAN DR STE 3",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033976",
"telephone_number": "636-493-0016",
"fax_number": "888-977-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-BUTLER",
"first_name": "MACHALENE",
"middle_name": "JEANETTE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2023028287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.