Active NPI
Edward Francis Allen, LCSW
- Mental Health Counselor
- Saint Louis, MO
National Provider Identifier
1437286119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20000167401
- Practice address
- 6978 Chippewa St
Suite #2
Saint Louis, MO 63109-3098 - Phone
- (314) 780-7410
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 20000167401 | MO | Primary |
Addresses
Primary practice location
6978 Chippewa St
Suite #2
Saint Louis, MO 63109-3098
Mailing address
4823 McCausland Ave
Saint Louis, MO 63109-3064
Phone (314) 780-7410
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090924000719 | MO | Practitioner - Clinical Social Worker | 2062568553 | Practice locations: St Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
777 Craig Rd
Suite 200
Saint Louis, MO 63141-7190
Phone (314) 780-7410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20000167401 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437286119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4823 MCCAUSLAND AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093064",
"telephone_number": "314-780-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6978 CHIPPEWA ST",
"address_2": "SUITE #2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093098",
"telephone_number": "314-780-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "EDWARD",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "20000167401",
"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 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.