Individual provider Active NPI

Maria Massey, PLPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1265078158
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016045018 Issued in MO
Practice address
4171 Crescent Dr Ste 202
Saint Louis, MO 63129-3645
Phone
(636) 735-3693
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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 2016045018 MO Primary

Addresses

Primary practice location

4171 Crescent Dr Ste 202
Saint Louis, MO 63129-3645

Mailing address

4171 Crescent Dr Ste 202
Saint Louis, MO 63129-3645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria@revisionchristiancounseling.com

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
2016045018MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1265078158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 CRESCENT DR STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 CRESCENT DR STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631293645",
            "telephone_number": "636-735-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "MARIA",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016045018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria@revisionchristiancounseling.com",
            "affiliation": "N",
            "address_1": "4171 Crescent Dr Ste 202",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631293645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 26, 2019; 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.