Individual provider Active NPI

Jennie Leigh Wilson, MA, LPC, NCC, RPT-S

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1407089022
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2009012843 Issued in MO
Practice address
2081 Collier Corporate Pkwy
Saint Charles, MO 63303-6701
Phone
(636) 255-0002
Fax
(636) 634-4777
NPI assigned
Aug 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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 2009012843 MO Primary

Addresses

Primary practice location

2081 Collier Corporate Pkwy
Saint Charles, MO 63303-6701

Mailing address

2081 Collier Corporate Pkwy
Saint Charles, MO 63303-6701
Phone (636) 255-0002

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2009012843MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Step by Step Counseling, LLC Current Accepting new patients

Locations

9378 Olive Blvd
Ste 209
Olivette, MO 63132
Phone (314) 315-2583

2081 Collier Corporate Pkwy
Saint Charles, MO 63303
Phone (636) 255-0002

2121 Collier Corporate Pkwy
Saint Charles, MO 63303

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": "1251590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1407089022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 COLLIER CORPORATE PKWY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036701",
            "telephone_number": "636-255-0002",
            "fax_number": "636-634-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 COLLIER CORPORATE PKWY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036701",
            "telephone_number": "636-255-0002",
            "fax_number": "636-634-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, NCC, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-30",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2009012843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.