Individual provider Active NPI

Lanita R Hardieway-Cherry

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1366934275
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017028689 Issued in MO
Practice address
5442 Page Blvd
Saint Louis, MO 63112-3417
Phone
(314) 278-9244
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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 2017028689 MO Primary

Addresses

Primary practice location

5442 Page Blvd
Saint Louis, MO 63112-3417

Mailing address

6642 Clayton Rd # 328
Richmond Heights, MO 63117-1602
Phone (314) 278-9244

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
2017028689MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1366934275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 CLAYTON RD # 328",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171602",
            "telephone_number": "314-278-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 PAGE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123417",
            "telephone_number": "314-278-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIEWAY-CHERRY",
        "first_name": "LANITA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017028689",
            "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 Nov 21, 2018; 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.