Active NPI
Joseph Lenac Jr., PSYCHOLOGIST
- Clinical Psychologist
- Creve Coeur, MO
National Provider Identifier
1336552033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 01759
- Practice address
- 425 N New Ballas Rd
Suite 280
Creve Coeur, MO 63141-6814 - Phone
- (314) 995-7201
- Fax
- (314) 995-7032
- NPI assigned
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0011661 | CO | |
| Clinical Psychologist | 103TC0700X | 01759 | MO | Primary |
Addresses
Primary practice location
425 N New Ballas Rd
Suite 280
Creve Coeur, MO 63141-6814
Mailing address
425 N New Ballas Rd
Suite 280
Creve Coeur, MO 63141-6814
Phone (314) 995-7201
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0011661 | CO | MD | Professional Counselor |
| 01759 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1336552033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD",
"address_2": "SUITE 280",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416814",
"telephone_number": "314-995-7201",
"fax_number": "314-995-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD",
"address_2": "SUITE 280",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416814",
"telephone_number": "314-995-7201",
"fax_number": "314-995-7032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENAC",
"first_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0011661",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "01759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
- Lasik-1 of St. Louis, LLC
- Jessica J. Lavalle, DMD
- Grace Lynne Christine Lay, M.A., CF-SLP
- Kathleen Ann Leach-Ross, LPC
- Sung Kwang Lee, D.C.
- Sarah Levins, PHARM.D.
- Life of Comfort Home Care LLC
- Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
- Xue Lin, MD/PHD
- Andrea Marie Lindquist, DC, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.