Active NPI
Steven Michael Portnoy, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1366162737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2002034023
- Practice address
- 6907 Page Ave # 1090
Saint Louis, MO 63133-1507 - Phone
- (314) 448-7189
- NPI assigned
- Aug 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2002034023 | MO | Primary |
Addresses
Primary practice location
6907 Page Ave # 1090
Saint Louis, MO 63133-1507
Mailing address
6907 Page Ave # 1090
Saint Louis, MO 63133-1507
Phone (314) 448-7189
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 |
|---|---|---|---|
| 2002034023 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1366162737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6907 PAGE AVE # 1090",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631331507",
"telephone_number": "314-448-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6907 PAGE AVE # 1090",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631331507",
"telephone_number": "314-448-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNOY",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2002034023",
"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 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.