Individual provider Active NPI

Lea Marie Kinzer, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1366127011
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025020623 Issued in MO
Practice address
7710 Carondelet Ave
Saint Louis, MO 63105-4041
Phone
(423) 702-6243
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 2025020623 MO Primary

Addresses

Primary practice location

7710 Carondelet Ave
Saint Louis, MO 63105-4041

Mailing address

7710 Carondelet Ave
Saint Louis, MO 63105-4041
Phone (423) 702-6243

Other practice location 1

150 Saint Peters Centre Blvd Ste B
Saint Peters, MO 63376-1653
Phone (636) 345-4744

Other practice location 2

7209 Hamilton Acres Cir
Chattanooga, TN 37421-8623
Phone (423) 499-9445

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
2025020623MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rcsquared Enterprises, LLC Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Locations

150 Saint Peters Centre Blvd
Ste B
Saint Peters, MO 63376
Phone (314) 930-3520

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.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1366127011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631054041",
            "telephone_number": "423-702-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631054041",
            "telephone_number": "423-702-6243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Saint Peters Centre Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761653",
            "country_code": "US",
            "telephone_number": "636-345-4744",
            "fax_number": "636-244-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7209 Hamilton Acres Cir",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374218623",
            "country_code": "US",
            "telephone_number": "423-499-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINZER",
        "first_name": "LEA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025020623",
            "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 Jun 21, 2025; 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.