Individual provider Active NPI

Samuel Bearer, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1306319694
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017028441 Issued in MO
Practice address
6780 Southwest Ave Ste 2a
Saint Louis, MO 63143-2624
Phone
(617) 379-0496
NPI assigned
Jan 9, 2019
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC.LH.70074588 WA
Professional Counselor 101YP2500X MHC.LH.70074588 WA
Professional Counselor 101YP2500X 2017028441 MO Primary
Counseling Psychologist 103TC1900X 2017028441 MO

Addresses

Primary practice location

6780 Southwest Ave Ste 2a
Saint Louis, MO 63143-2624

Mailing address

824 Sanders PL
Saint Louis, MO 63126-1224
Phone (617) 379-0496

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
I20240517000322 MO Practitioner - Mental Health Counselor 9436590791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

10 S Euclid Ave
Suite C
Saint Louis, MO 63108-3809
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC.LH.70074588WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Avenues Counseling Center Mental Health CurrentSince Jan 26, 2025 Accepting new patients
Avenues Counseling Center CurrentSince Jul 28, 2025 Accepting new patients

Locations

3685 W Outer Rd
Arnold, MO 63010
Phone (636) 223-0070

4010 Washington St
Kansas City, MO 64111
Phone (913) 601-8151

10 S Euclid Ave
Ste C
Saint Louis, MO 63108

1612 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 529-1391

409 S Florissant Rd
Ste 101
Saint Louis, MO 63135
Phone (314) 529-1391

6780 Southwest Ave
Ste 2A
Saint Louis, MO 63143
Phone (314) 900-0574

3322 S Campbell Ave
Ste T5
Springfield, MO 65807

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1306319694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 SANDERS PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261224",
            "telephone_number": "617-379-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 SOUTHWEST AVE STE 2A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432624",
            "telephone_number": "617-379-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARER",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.70074588",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "MHC.LH.70074588",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017028441",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2017028441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.