Active NPI
Catherine Ruth Tweeddale
- Mental Health Counselor
- Chesterfield, MO
National Provider Identifier
1205654605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2024003444
- Practice address
- 15455 Conway Rd Ste 117
Chesterfield, MO 63017-2022 - Phone
- (636) 675-7566
- NPI assigned
- Oct 3, 2024
- Last updated
- Oct 3, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2024003444 | MO | Primary |
Addresses
Primary practice location
15455 Conway Rd Ste 117
Chesterfield, MO 63017-2022
Mailing address
641 W Glendale Rd
Webster Groves, MO 63119-3516
Phone (352) 212-4800
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 |
|---|---|---|---|
| 2024003444 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesterfield Counseling Associates, LLC | Current | Accepting new patients |
Locations
15455 Conway Rd
Ste 117
Chesterfield, MO 63017
Phone (314) 388-9855
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.
-
- Counselor
- Chesterfield, MO
- NPI 1093361784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1205654605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 W GLENDALE RD",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631193516",
"telephone_number": "352-212-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 CONWAY RD STE 117",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172022",
"telephone_number": "636-675-7566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWEEDDALE",
"first_name": "CATHERINE",
"middle_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2024003444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.