Active NPI
Edgar W Hatcher, MSHS, MDIV
- Counselor
- Saint Louis, MO
National Provider Identifier
1356697890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2011036953
- Practice address
- 8631 Delmar Blvd
Saint Louis, MO 63124-1990 - Phone
- (314) 787-5100
- Fax
- (314) 754-2800
- NPI assigned
- Aug 2, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2011036953 | MO | Primary |
Addresses
Primary practice location
8631 Delmar Blvd
Saint Louis, MO 63124-1990
Mailing address
8631 Delmar Blvd
Saint Louis, MO 63124-1990
Phone (314) 787-5100
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 |
|---|---|---|---|
| 2011036953 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1356697890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241990",
"telephone_number": "314-787-5100",
"fax_number": "314-754-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241990",
"telephone_number": "314-787-5100",
"fax_number": "314-754-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "EDGAR",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MSHS, MDIV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2011036953",
"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 Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.