Active NPI
Patt Hollinger Pickett, PHD
- Marriage & Family Therapist
- Lake St Louis, MO
National Provider Identifier
1427125103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT000030
- Practice address
- 1000 Lake St Louis Blvd
Suite 206
Lake St Louis, MO 63367 - Phone
- (636) 561-8839
- Fax
- (636) 561-5042
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT000030 | MO | Primary |
Addresses
Primary practice location
1000 Lake St Louis Blvd
Suite 206
Lake St Louis, MO 63367
Mailing address
1000 Lake St Louis Blvd
Suite 206
Lake St Louis, MO 63367
Phone (636) 561-8839
Other names 1
- Dr. Patt Ann Pickett
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT000030 | MO | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427125103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LAKE ST LOUIS BLVD",
"address_2": "SUITE 206",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "63367",
"telephone_number": "636-561-8839",
"fax_number": "636-561-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LAKE ST LOUIS BLVD",
"address_2": "SUITE 206",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "63367",
"telephone_number": "636-561-8839",
"fax_number": "636-561-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "PATT",
"middle_name": "HOLLINGER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "LMFT000030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATT",
"last_name": "PICKETT",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.