Active NPI
Therese Chavaux, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1225522386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1096
- Practice address
- 3036 Watson Rd
Saint Louis, MO 63139-2635 - Phone
- (314) 537-5964
- NPI assigned
- Jun 21, 2018
- 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 | 1096 | MO | Primary |
Addresses
Primary practice location
3036 Watson Rd
Saint Louis, MO 63139-2635
Mailing address
3036 Watson Rd
Saint Louis, MO 63139-2635
Phone (314) 537-5964
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 |
|---|---|---|---|
| 1096 | MO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1225522386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3036 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631392635",
"telephone_number": "314-537-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631392635",
"telephone_number": "314-537-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVAUX",
"first_name": "THERESE",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "1096",
"primary": true
}
],
"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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.