Active NPI
Wendy Sain, LPC
- Professional Counselor
- Ellisville, MO
National Provider Identifier
1447639760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2015014116
- Practice address
- 171 Clarkson Executive Park
Ellisville, MO 63011-2176 - Phone
- (636) 368-5124
- Fax
- (844) 927-4818
- NPI assigned
- May 19, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2015014116 | MO | Primary |
Addresses
Primary practice location
171 Clarkson Executive Park
Ellisville, MO 63011-2176
Mailing address
171 Clarkson Executive Park
Ellisville, MO 63011-2176
Phone (636) 368-5124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015014116 | Other | MO | COMMITTEE FOR PROFESSIONAL COUNSELORS STATE OF MISSOURI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015014116 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1447639760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 CLARKSON EXECUTIVE PARK",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112176",
"telephone_number": "636-368-5124",
"fax_number": "844-927-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 CLARKSON EXECUTIVE PARK",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112176",
"telephone_number": "636-368-5124",
"fax_number": "844-927-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIN",
"first_name": "WENDY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2015014116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMITTEE FOR PROFESSIONAL COUNSELORS STATE OF MISSOURI",
"identifier": "2015014116",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.