NPIMap

Organization Active NPI

Osage Valley Counseling LLC

  • Professional Counselor
  • Fenton, MO
National Provider Identifier
1255003000
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OSAGE VALLEY COUNSELING LLC
Practice address
1736 Westpark Ctr Dr Ste 100
Fenton, MO 63026-1916
Phone
(636) 600-0446
Fax
(636) 660-2262
NPI assigned
Sep 30, 2021
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Mirranda Cardinali, LPC, CRCNPI 1124503271
Title
Owner/Operator
Phone
(636) 600-0446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

1736 Westpark Ctr Dr Ste 100
Fenton, MO 63026-1916

Mailing address

1736 Westpark Ctr Dr Ste 100
Fenton, MO 63026-1916
Phone (636) 600-0446

Other practice location 1

320 Gravois Rd Ste 210
Fenton, MO 63026-4122
Phone (636) 600-0446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114000444 MO Part B Supplier - Clinic/Group Practice 2860983129 Receives reassigned benefits from 1 practitioner
Practice locations: Fenton, MO

National Provider Directory

National Provider Directory

Locations

1736 W Park Center Dr
Ste 100
Fenton, MO 63026
Phone (636) 600-0446

320 Gravois Rd
Ste 210
Fenton, MO 63026
Phone (314) 467-0373

320 Gravois Rd
Ste 230
Fenton, MO 63026
Phone (314) 270-2334

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1255003000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 WESTPARK CTR DR STE 100",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630261916",
            "telephone_number": "636-600-0446",
            "fax_number": "636-660-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 WESTPARK CTR DR STE 100",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630261916",
            "telephone_number": "636-600-0446",
            "fax_number": "636-660-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Gravois Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630264122",
            "country_code": "US",
            "telephone_number": "636-600-0446",
            "fax_number": "636-660-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSAGE VALLEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "CARDINALI",
        "authorized_official_first_name": "MIRRANDA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "636-600-0446",
        "authorized_official_credential": "LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.