Individual provider Active NPI

Adam Kepka, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1457142481
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012009401 Issued in MO
Practice address
4535 Gibson Ave
Saint Louis, MO 63110-1519
Phone
(314) 223-5772
NPI assigned
May 17, 2025
Last updated
May 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

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 2012009401 MO Primary

Addresses

Primary practice location

4535 Gibson Ave
Saint Louis, MO 63110-1519

Mailing address

4535 Gibson Ave
Saint Louis, MO 63110-1519
Phone (314) 223-5772

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

LicenseStateTypeSpecialty
2012009401MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1457142481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 GIBSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101519",
            "telephone_number": "314-223-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 GIBSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101519",
            "telephone_number": "314-223-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPKA",
        "first_name": "ADAM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012009401",
            "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 May 17, 2025; 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.