Individual provider Active NPI

Laronda Treadway, LPC

  • Professional Counselor
  • Maryland Heights, MO
National Provider Identifier
1245937127
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022045386 Issued in MO
Practice address
12 Fee Fee Rd
Maryland Heights, MO 63043-2729
Phone
(314) 368-2409
Fax
(949) 577-4014
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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 2022045386 MO Primary

Addresses

Primary practice location

12 Fee Fee Rd
Maryland Heights, MO 63043-2729

Mailing address

1600 2ND St
Madison, IL 62060-1441
Phone (314) 599-4657

Other identifiers 1

IdentifierTypeStateIssuer
2022045386OtherMOPROFESSIONAL LICENSE

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

LicenseStateTypeSpecialty
2022045386MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Therapeutics Services CurrentSince Feb 5, 2025 Accepting new patients
Alpine'S Empowerment Agency, PLLC PastSince Feb 19, 2023 Accepting new patients

Locations

12 Fee Fee Rd
Maryland Heights, MO 63043
Phone (314) 368-2409

10828 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 368-2409

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1245937127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 2ND ST",
            "city": "MADISON",
            "state": "IL",
            "postal_code": "620601441",
            "telephone_number": "314-599-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FEE FEE RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432729",
            "telephone_number": "314-368-2409",
            "fax_number": "949-577-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWAY",
        "first_name": "LARONDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022045386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "2022045386",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.