Active NPI
Stacey Nentwig Greer, M.ED.
- Professional Counselor
- Creve Coeur, MO
National Provider Identifier
1184773285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002563
- Practice address
- 425 N New Ballas Rd
Suite 195
Creve Coeur, MO 63141-6814 - Phone
- (314) 999-1566
- Fax
- (314) 991-0666
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 002563 | MO | Primary |
Addresses
Primary practice location
425 N New Ballas Rd
Suite 195
Creve Coeur, MO 63141-6814
Mailing address
425 N New Ballas Rd
Suite 195
Creve Coeur, MO 63141-6814
Phone (314) 999-1566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 7, 2024 through May 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002563 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1184773285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD",
"address_2": "SUITE 195",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416814",
"telephone_number": "314-999-1566",
"fax_number": "314-991-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD",
"address_2": "SUITE 195",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416814",
"telephone_number": "314-999-1566",
"fax_number": "314-991-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREER",
"first_name": "STACEY",
"middle_name": "NENTWIG",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "002563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.