Individual provider Active NPI

Sarah E Paradise, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1427594548
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015029731 Issued in MO
Practice address
11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966
Phone
(314) 898-0102
Fax
(314) 842-2552
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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 2015029731 MO Primary

Addresses

Primary practice location

11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966

Mailing address

11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966
Phone (314) 802-2647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000379 MO Practitioner - Mental Health Counselor 5799133096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Provident IncGroup PAC ID 0345217279, 19 clinicians

Practice addresses (Care Compare)

11166 Tesson Ferry Rd
Suite 300
Saint Louis, MO 63123-6966
Phone (314) 802-2647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015029731MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Inc. CurrentSince Jan 1, 2024 Accepting new patients
Provident Inc PastSince May 25, 2021 Accepting new patients

Locations

11166 Tesson Ferry Rd
Ste 300
Saint Louis, MO 63123
Phone (314) 802-2647

11222 Tesson Ferry Rd
Ste 100
Saint Louis, MO 63123
Phone (314) 843-1866

2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500

Organizations & group practices 2

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1427594548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11166 TESSON FERRY RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236966",
            "telephone_number": "314-802-2647",
            "fax_number": "314-842-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 TESSON FERRY RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236966",
            "telephone_number": "314-898-0102",
            "fax_number": "314-842-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARADISE",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015029731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.