Individual provider Active NPI

Erin Lyn Bufford, LPC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1356857551
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017034632 Issued in MO
Practice address
330 1St Capitol Dr
Saint Charles, MO 63301-2835
Phone
(636) 947-5578
Fax
(636) 947-5599
NPI assigned
Dec 26, 2017
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2017034632 MO Primary

Addresses

Primary practice location

330 1St Capitol Dr
Saint Charles, MO 63301-2835

Mailing address

330 1St Capitol Dr Ste 360
Saint Charles, MO 63301-2859
Phone (636) 947-5578

Other names 1

  • Erin Lyn Gardner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212002789 MO Practitioner - Mental Health Counselor 2769831064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

12355 De Paul Dr
Suite 150
Bridgeton, MO 63044-2581
Phone (314) 344-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017034632MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 1, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Jan 1, 2024 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

12355 De Paul Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 344-7153

12355 De Paul Dr
Ste 160
Bridgeton, MO 63044
Phone (314) 344-7101

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

330 1st Capitol Dr
Saint Charles, MO 63301
Phone (314) 940-9926

330 1st Capitol Dr
Ste 360
Saint Charles, MO 63301

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1356857551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR STE 360",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012859",
            "telephone_number": "636-947-5578",
            "fax_number": "636-947-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012835",
            "telephone_number": "636-947-5578",
            "fax_number": "636-947-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFORD",
        "first_name": "ERIN",
        "middle_name": "LYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017034632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "GARDNER",
            "middle_name": "LYN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.