Active NPI
Kayla Shane
- Counselor
- Saint Louis, MO
National Provider Identifier
1245172923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2026007828
- Practice address
- 8000 Bonhomme Ave Ste 201
Saint Louis, MO 63105-3515 - Phone
- (812) 470-7650
- NPI assigned
- Apr 9, 2026
- Last updated
- Apr 9, 2026
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2026007828 | MO | Primary |
Addresses
Primary practice location
8000 Bonhomme Ave Ste 201
Saint Louis, MO 63105-3515
Mailing address
245 Union Blvd Apt 401
Saint Louis, MO 63108-1292
Phone (812) 470-7650
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 |
|---|---|---|---|
| 2026007828 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1245172923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 UNION BLVD APT 401",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081292",
"telephone_number": "812-470-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 BONHOMME AVE STE 201",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053515",
"telephone_number": "812-470-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANE",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2026007828",
"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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.