Individual provider Active NPI

Fredrik Christoffer Lowenhielm

  • Mental Health Counselor
  • O Fallon, MO
National Provider Identifier
1245082486
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2021040943 Issued in MO
Practice address
801 S Woodlawn Ave Ste 15
O Fallon, MO 63366-7647
Phone
(636) 379-1779
Fax
(636) 634-3496
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2021040943 MO Primary

Addresses

Primary practice location

801 S Woodlawn Ave Ste 15
O Fallon, MO 63366-7647

Mailing address

801 S Woodlawn Ave Ste 15
O Fallon, MO 63366-7647
Phone (636) 379-1779

Other names 1

  • Christoffer Fredrik Lowenhielm Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501003311 MO Practitioner - Mental Health Counselor 1153761580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nystrom Counseling Mo PCGroup PAC ID 6103264494, 15 clinicians

Practice addresses (Care Compare)

801 S Woodlawn Ave
Suite 16
O Fallon, MO 63366-7647
Phone (636) 379-1779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021040943MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom Counseling Mo, PC CurrentSince Apr 1, 2024 Accepting new patients
Sandhill Counseling and Consultation, LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

801 S Woodlawn Ave
Ste 15
O Fallon, MO 63366
Phone (636) 379-1779

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1245082486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S WOODLAWN AVE STE 15",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667647",
            "telephone_number": "636-379-1779",
            "fax_number": "636-634-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WOODLAWN AVE STE 15",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667647",
            "telephone_number": "636-379-1779",
            "fax_number": "636-634-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWENHIELM",
        "first_name": "FREDRIK",
        "middle_name": "CHRISTOFFER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021040943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOFFER",
            "last_name": "LOWENHIELM",
            "middle_name": "FREDRIK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.