Individual provider Active NPI

Kelle Renne Parton, LPC

  • Mental Health Counselor
  • Lake St Louis, MO
National Provider Identifier
1285151100
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2015010598 Issued in MO
Practice address
206 Centre on the LK
Lake St Louis, MO 63367-1370
Phone
(636) 466-5287
Fax
(636) 625-1633
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2015010598 MO Primary

Addresses

Primary practice location

206 Centre on the LK
Lake St Louis, MO 63367-1370

Mailing address

1557 Reveres Ride
O Fallon, MO 63366-5515
Phone (636) 466-5287

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
2015010598MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be the Change Counseling Services Past Accepting new patients

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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1285151100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 REVERES RIDE",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633665515",
            "telephone_number": "636-466-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CENTRE ON THE LK",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671370",
            "telephone_number": "636-466-5287",
            "fax_number": "636-625-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTON",
        "first_name": "KELLE",
        "middle_name": "RENNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2015010598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.