Active NPI
KS Counseling LLC
- Professional Counselor
- Saint Charles, MO
National Provider Identifier
1356667307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2005028657
- Legal business name
- KS COUNSELING LLC
- Practice address
- 428 McDonough St
Suite 201
Saint Charles, MO 63301-3483 - Phone
- (636) 724-1224
- Fax
- (636) 724-1226
- NPI assigned
- Apr 15, 2010
- Last updated
- Apr 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tracy Turner-Bumberry, LPC
- Title
- Licensed Professional Counselor
- Phone
- (636) 724-1224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2005028657 | MO | Primary |
Addresses
Primary practice location
428 McDonough St
Suite 201
Saint Charles, MO 63301-3483
Mailing address
428 McDonough St
Suite 201
Saint Charles, MO 63301-3483
Phone (636) 724-1224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495473001 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
428 McDonough St
Ste 201
Saint Charles, MO 63301
Phone (636) 724-1224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- O'Fallon, MO
- NPI 1477876944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271289600000",
"number": "1356667307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 MCDONOUGH ST",
"address_2": "SUITE 201",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633013483",
"telephone_number": "636-724-1224",
"fax_number": "636-724-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 MCDONOUGH ST",
"address_2": "SUITE 201",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633013483",
"telephone_number": "636-724-1224",
"fax_number": "636-724-1226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-15",
"last_updated": "2010-04-15",
"status": "A",
"authorized_official_last_name": "TURNER-BUMBERRY",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "636-724-1224",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2005028657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495473001",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.