Active NPI
Marie Bonner-Horon
- Mental Health Counselor
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2016032550
- Practice address
- 1555 Kisker Rd Ste 100
Saint Peters, MO 63304-0602 - Phone
- (636) 344-0580
- Fax
- (636) 206-2486
- NPI assigned
- Oct 10, 2016
- 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 | 2016032550 | MO | Primary |
Addresses
Primary practice location
1555 Kisker Rd Ste 100
Saint Peters, MO 63304-0602
Mailing address
3115 S Grand Blvd Ste 450
Saint Louis, MO 63118-1045
Phone (314) 577-0444
Other practice location 1
500 Huber Park Ct Ste 203
Weldon Spring, MO 63304-8683
Phone (636) 344-0580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490037465 | Medicaid | MO | |
| 830151083 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1555 Kisker Rd
Suite 100
Saint Charles, MO 63304-0602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016032550 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playhouse Collaborative | Mental Health | Current | Accepting new patients |
| Ways of Play Counseling Services | Mental Health | Current | Accepting new patients |
Locations
1555 Kisker Rd
Ste 100
Saint Peters, MO 63304
500 Huber Park Ct
Ste 203
Weldon Spring, MO 63304
Phone (417) 289-2220
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Weldon Spring, MO
- NPI 1649008475
-
- Mental Health Counselor
- Saint Peters, MO
- NPI 1093483109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1215487590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 S GRAND BLVD STE 450",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631181045",
"telephone_number": "314-577-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 KISKER RD STE 100",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633040602",
"telephone_number": "636-344-0580",
"fax_number": "636-206-2486"
}
],
"practiceLocations": [
{
"address_1": "500 Huber Park Ct Ste 203",
"address_purpose": "LOCATION",
"city": "Weldon Spring",
"state": "MO",
"postal_code": "633048683",
"country_code": "US",
"telephone_number": "636-344-0580",
"fax_number": "636-206-2486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNER-HORON",
"first_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2016032550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490037465",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "830151083",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.