Active NPI
Taylore Qaoud, MA, LPC, NCC
- Mental Health Counselor
- Saint Louis, MO
National Provider Identifier
1346621794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2017039464
- Practice address
- 2831 Accomac St
Saint Louis, MO 63104-2239 - Phone
- (314) 325-4969
- Fax
- (314) 325-4969
- NPI assigned
- Jun 11, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2017039464 | MO | Primary |
Addresses
Primary practice location
2831 Accomac St
Saint Louis, MO 63104-2239
Mailing address
2831 Accomac St
Saint Louis, MO 63104-2239
Phone (314) 325-4969
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017039464 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Roots Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
1034 S Brentwood Blvd
Ste 555
Saint Louis, MO 63117
Phone (314) 252-0392
2838 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 399-8842
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.
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1144788225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1346621794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 ACCOMAC ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631042239",
"telephone_number": "314-325-4969",
"fax_number": "314-325-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 ACCOMAC ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631042239",
"telephone_number": "314-325-4969",
"fax_number": "314-325-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAOUD",
"first_name": "TAYLORE",
"name_prefix": "Ms.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2017039464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.