Active NPI
Deidra Kyiesha Evans, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1386418572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2026017115
- Practice address
- 1001 Lynch St
Saint Louis, MO 63118-1818 - Phone
- (417) 761-5000
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2026017115 | MO | Primary |
Addresses
Primary practice location
1001 Lynch St
Saint Louis, MO 63118-1818
Mailing address
PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214
Other practice location 1
3722 Candlewyck Club Dr Apt D
Florissant, MO 63034-2585
Phone (678) 321-7264
Other practice location 2
10024 Office Center Ave Ste 100
Saint Louis, MO 63128-1392
Phone (314) 729-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1386418572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844715",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641844715",
"telephone_number": "417-761-5214",
"fax_number": "417-761-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 LYNCH ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631181818",
"telephone_number": "417-761-5000"
}
],
"practiceLocations": [
{
"address_1": "3722 Candlewyck Club Dr Apt D",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630342585",
"country_code": "US",
"telephone_number": "678-321-7264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10024 Office Center Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631281392",
"country_code": "US",
"telephone_number": "314-729-7050",
"fax_number": "314-729-0920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "DEIDRA",
"middle_name": "KYIESHA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2026017115",
"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 Jul 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.