Individual provider Active NPI

James Paul Ahearn, LPC

  • Professional Counselor
  • Clayton, MO
National Provider Identifier
1245855980
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018013686 Issued in MO
Practice address
230 S Bemiston Ave Ste 920
Clayton, MO 63105-1907
Phone
(630) 913-1004
NPI assigned
Jun 9, 2020
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2018013686 MO Primary

Addresses

Primary practice location

230 S Bemiston Ave Ste 920
Clayton, MO 63105-1907

Mailing address

230 S Bemiston Ave Ste 920
Clayton, MO 63105-1907
Phone (630) 913-1004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address James@sondercounselingllc.com Direct

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
I20231205002850 MO Practitioner - Mental Health Counselor 3779988324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonder Counseling LLCGroup PAC ID 9133524788, 10 clinicians

Practice addresses (Care Compare)

230 S Bemiston Ave
Suite 1006
Clayton, MO 63105-1907
Phone (314) 925-2634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018013686MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sonder Counseling LLC CurrentSince May 14, 2020 Accepting new patients

Locations

230 S Bemiston Ave
Ste 1006
Saint Louis, MO 63105
Phone (314) 925-2634

Interoperability endpoints

  • Direct secure messaging: james@sondercounselingllc.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1245855980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 920",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "630-913-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 920",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "630-913-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018013686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "James@sondercounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "230 S Bemiston Ave Ste 920",
            "city": "Clayton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631051907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.