Individual provider Active NPI

Adam T Faulkner, MS, LPC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1326664459
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020029483 Issued in MO
Practice address
3324 Rue Royale St # 1184
Saint Charles, MO 63301-8321
Phone
(314) 266-8470
NPI assigned
Jun 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 2020029483 MO Primary

Addresses

Primary practice location

3324 Rue Royale St # 1184
Saint Charles, MO 63301-8321

Mailing address

7055 Mexico Rd Unit 1681
Saint Peters, MO 63376-2436
Phone (314) 266-8470

Other practice location 1

400 N 5th St Ste 201
Saint Charles, MO 63301-1808
Phone (636) 238-2615

Other practice location 2

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

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
I20231127001485 MO Practitioner - Mental Health Counselor 9830547280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2020029483MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC Professional CurrentSince Jan 1, 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1326664459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 MEXICO RD UNIT 1681",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762436",
            "telephone_number": "314-266-8470",
            "fax_number": "636-201-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 RUE ROYALE ST # 1184",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018321",
            "telephone_number": "314-266-8470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 5th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633011808",
            "country_code": "US",
            "telephone_number": "636-238-2615",
            "fax_number": "636-201-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Hrc Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Lake St Louis",
            "state": "MO",
            "postal_code": "633671869",
            "country_code": "US",
            "telephone_number": "636-339-4475",
            "fax_number": "636-201-3379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "ADAM",
        "middle_name": "T",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020029483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.