Individual provider Active NPI

Julia Lee Reid, LPC

  • Counselor
  • St Louis, MO
National Provider Identifier
1356521769
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CS001626 Issued in MO
Practice address
763 S New Ballas Road
Suite 340 Cross Roads Christian Counseling
St Louis, MO 63141-8787
Phone
(314) 872-2972
Fax
(314) 872-2975
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CS001626 MO Primary

Addresses

Primary practice location

763 S New Ballas Road
Suite 340 Cross Roads Christian Counseling
St Louis, MO 63141-8787

Mailing address

763 S New Ballas Road
Suite 340 Cross Roads Christian Counseling
St Louis, MO 63141-8787
Phone (314) 872-2972

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
CS001626MOMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1356521769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS ROAD",
            "address_2": "SUITE 340 CROSS ROADS CHRISTIAN COUNSELING",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631418787",
            "telephone_number": "314-872-2972",
            "fax_number": "314-872-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S NEW BALLAS ROAD",
            "address_2": "SUITE 340 CROSS ROADS CHRISTIAN COUNSELING",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631418787",
            "telephone_number": "314-872-2972",
            "fax_number": "314-872-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JULIA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "CS001626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.