Individual provider Active NPI

Martha Aull

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1285303131
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2021034905 Issued in MO
Practice address
567 Sarah LN Apt 106
Saint Louis, MO 63141-5607
Phone
(314) 853-0521
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 2021034905 MO Primary

Addresses

Primary practice location

567 Sarah LN Apt 106
Saint Louis, MO 63141-5607

Mailing address

567 Sarah LN Apt 106
Saint Louis, MO 63141-5607
Phone (314) 853-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 2, 2024 through Oct 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2021034905MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1285303131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 SARAH LN APT 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415607",
            "telephone_number": "314-853-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 SARAH LN APT 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415607",
            "telephone_number": "314-853-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULL",
        "first_name": "MARTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2021034905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.