Active NPI
Joann Lee McCracken, TH.D., L.P.C.
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1346327962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CS002172
- Practice address
- 2536 S Old Highway 94
Suite 108
Saint Charles, MO 63303-5612 - Phone
- (636) 744-9397
- Fax
- (636) 447-8174
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CS002172 | MO | Primary |
Addresses
Primary practice location
2536 S Old Highway 94
Suite 108
Saint Charles, MO 63303-5612
Mailing address
2536 S Old Highway 94
Suite 108
Saint Charles, MO 63303-5612
Phone (636) 744-9397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42992 | Other | NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC) |
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 |
|---|---|---|---|
| CS002172 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1346327962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2536 S OLD HIGHWAY 94",
"address_2": "SUITE 108",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035612",
"telephone_number": "636-744-9397",
"fax_number": "636-447-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 S OLD HIGHWAY 94",
"address_2": "SUITE 108",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633035612",
"telephone_number": "636-744-9397",
"fax_number": "636-447-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRACKEN",
"first_name": "JOANN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "TH.D., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "CS002172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC)",
"identifier": "42992",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
- Eugene J McCabe, M.D.
- Nicole McClain, OTD, OTR/L
- David L McCollister, M.D.
- Colleen Ann McConnaha, PT
- Amy Theresa McCory, ANP
- McCullough Optometry Associates, P.C. (Bogey Hills Vision Center)
- Angela Christine McCullough, P.T.
- Stephen McCullough, OD
- Hannah Elizabeth McDermott, PHARMD
- Melanie McDole, MA. LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.