Individual provider Active NPI

Kristina Leanne Laswell, LPC

  • Professional Counselor
  • Lake Saint Louis, MO
National Provider Identifier
1306558911
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018014423 Issued in MO
Practice address
702 Gray Mist Ter
Lake Saint Louis, MO 63367-1413
Phone
(636) 312-9898
NPI assigned
Dec 15, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 2018014423 MO Primary

Addresses

Primary practice location

702 Gray Mist Ter
Lake Saint Louis, MO 63367-1413

Mailing address

702 Gray Mist Ter
Lake Saint Louis, MO 63367-1413
Phone (636) 312-9898

Other practice location 1

1600 Feise Rd
Dardenne Prairie, MO 63368-7345
Phone (636) 312-9898

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
I20250116000728 MO Practitioner - Mental Health Counselor 2264960467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A W Stevenson LLCGroup PAC ID 8628437092, 17 clinicians

Practice addresses (Care Compare)

1310 HRC Plaza Dr
Lake St Louis, MO 63367-1869
Phone (636) 339-4475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC Professional CurrentSince Dec 20, 2024 Accepting new patients

Locations

1310 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 277-9890

400 N 5th St
Ste 201
Saint Charles, MO 63301
Phone (636) 238-2615

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, 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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1306558911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GRAY MIST TER",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671413",
            "telephone_number": "636-312-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GRAY MIST TER",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671413",
            "telephone_number": "636-312-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Feise Rd",
            "address_purpose": "LOCATION",
            "city": "Dardenne Prairie",
            "state": "MO",
            "postal_code": "633687345",
            "country_code": "US",
            "telephone_number": "636-312-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASWELL",
        "first_name": "KRISTINA",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018014423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.