Samantha Buettner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2013044754 Issued in MO

Practice address

9666 Olive Blvd Ste 510
Saint Louis, MO 63132-3026

Phone

(314) 365-6421

NPI assigned

Dec 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revive Counseling LLC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1073347605
  Medicare reassignment NPD Authorized official
• Sonder Counseling LLC

  • Mental Health Counselor
  • Clayton, MO
  • NPI 1578156329
  NPD
• Preferred Family Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hannibal, MO
  • NPI 1306721709
  NPD (past)

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1366912388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 510",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323026",
            "telephone_number": "314-365-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 OLIVE BLVD STE 510",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323026",
            "telephone_number": "314-365-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUETTNER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2013044754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Messina Buerkle, OTRL CHT
• Shannon Hayes Buescher I
• Cynthia Lynn Bueter, P.T.
• Susan B Buettner-Miller, ANP
• Alyssa Michelle Buettner, LCSW
• Gina Marie Bufe, RN, PHD, PMHCNS-BC
• Kimberly Buffkins, PSY.D.
• Brittney Bufford
• Allison W Buford, DDS
• Shanique M Buford

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.