Individual provider Active NPI

Christine P. Laycob, M.S., L.P.C.

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1427330570
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2008036652 Issued in MO
Practice address
689 Craig Rd
Saint Louis, MO 63141-7112
Phone
(314) 769-9678
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2008036652 MO Primary

Addresses

Primary practice location

689 Craig Rd
Saint Louis, MO 63141-7112

Mailing address

8105 University Dr
Saint Louis, MO 63105-3726
Phone (314) 769-9678

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 Science

State licenses

LicenseStateTypeSpecialty
2008036652MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1427330570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 UNIVERSITY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053726",
            "telephone_number": "314-769-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 CRAIG RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417112",
            "telephone_number": "314-769-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYCOB",
        "first_name": "CHRISTINE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2008036652",
            "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 Sep 14, 2011; 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.