Individual provider Active NPI

Wilfred Joseph Krenn Jr., LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1255647947
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010028143 Issued in MO
Practice address
12801 Flushing Meadows Dr Ste 120
Saint Louis, MO 63131-1829
Phone
(314) 729-1200
Fax
(314) 729-1201
NPI assigned
Aug 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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 2010028143 MO Primary

Addresses

Primary practice location

12801 Flushing Meadows Dr Ste 120
Saint Louis, MO 63131-1829

Mailing address

11144 Tesson Ferry Rd Ste 101
Saint Louis, MO 63123-6965
Phone (314) 729-1200

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
I20250915002169 MO Practitioner - Mental Health Counselor 4385147297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shanon Harlow LLCGroup PAC ID 3375860588, 12 clinicians

Practice addresses (Care Compare)

11144 Tesson Ferry Rd
Saint Louis, MO 63123-6965
Phone (314) 729-1200

12801 Flushing Meadows Dr
Suite 120
Saint Louis, MO 63131-1829
Phone (314) 729-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010028143MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shanon Harlow, LLC Professional CurrentSince Aug 1, 2025 Accepting new patients

Locations

11144 Tesson Ferry Rd
Ste 101
Saint Louis, MO 63123
Phone (314) 472-2100

12801 Flushing Meadows Dr
Ste 120
Saint Louis, MO 63131
Phone (314) 729-1200

11144 Tesson Ferry Rd
Saint Louis, MO 63123
Phone (314) 729-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1255647947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-729-1200",
            "fax_number": "314-729-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 FLUSHING MEADOWS DR STE 120",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311829",
            "telephone_number": "314-729-1200",
            "fax_number": "314-729-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENN",
        "first_name": "WILFRED",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010028143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.