Individual provider Active NPI

Carolyn Ann Lafavre, MS

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1457374381
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005031493 Issued in MO
Practice address
1201 Bellevue Ave
Saint Louis, MO 63117
Phone
(314) 647-3558
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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 2005031493 MO Primary

Addresses

Primary practice location

1201 Bellevue Ave
Saint Louis, MO 63117

Mailing address

1315 Laven del Lane
Saint Louis, MO 63122
Phone (314) 909-1137

Other names 1

  • Mrs. Carolyn Ann Howerter Former name

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
I20251016001310 MO Practitioner - Mental Health Counselor 2264929892 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1315 Laven del LN
Saint Louis, MO 63122-1120

2311 Kingstowne Way CT
Wildwood, MO 63011-1891

745 Craig Rd
Suite 305
Saint Louis, MO 63141-7122
Phone (314) 920-1843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1457374381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 LAVEN DEL LANE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-909-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BELLEVUE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-647-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFAVRE",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005031493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "HOWERTER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.