Individual provider Active NPI

Kristen Craren, LPC

  • Professional Counselor
  • Clayton, MO
National Provider Identifier
1316574973
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013035394 Issued in MO
Practice address
230 S Bemiston Ave Ste 920
Clayton, MO 63105-1907
Phone
(314) 482-7510
NPI assigned
Mar 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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 2013035394 MO Primary

Addresses

Primary practice location

230 S Bemiston Ave Ste 920
Clayton, MO 63105-1907

Mailing address

52 Lansdowne CT
Saint Charles, MO 63303-2928
Phone (314) 482-7510

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
2013035394MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Profectus Counseling, LLC CurrentSince Feb 14, 2021 Accepting new patients
Craren Mediation Services, LLC CurrentSince Oct 4, 2020 Accepting new patients

Locations

230 S Bemiston Ave
Ste 920
Saint Louis, MO 63105
Phone (314) 482-7510

Organizations & group practices 2

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1316574973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 LANSDOWNE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032928",
            "telephone_number": "314-482-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 920",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-482-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAREN",
        "first_name": "KRISTEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013035394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.