Active NPI
Yvette Kristine Pelikan, LCSW
- Social Worker
- Saint Louis, MO
National Provider Identifier
1457807315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2017026573
- Practice address
- 9804 Manchester Rd Ste B
Saint Louis, MO 63119-1210 - Phone
- (314) 706-1562
- Fax
- (636) 333-4510
- NPI assigned
- Aug 31, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2017026573 | MO | Primary |
Addresses
Primary practice location
9804 Manchester Rd Ste B
Saint Louis, MO 63119-1210
Mailing address
396 N Berry Rd
Saint Louis, MO 63122-4735
Phone (314) 706-1562
Other names 1
- Yvette Kristine Rendon
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 |
|---|---|---|---|
| 2017026573 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Counseling 4 Kids LLC | Mental Health | Current | Accepting new patients |
Locations
2025 S Brentwood Blvd
Ste 201
Saint Louis, MO 63144
Phone (314) 374-1620
9804 Manchester Rd
Ste B
Saint Louis, MO 63119
Phone (314) 489-9287
Organizations & group practices 1
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": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1457807315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 N BERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631224735",
"telephone_number": "314-706-1562",
"fax_number": "636-333-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9804 MANCHESTER RD STE B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191210",
"telephone_number": "314-706-1562",
"fax_number": "636-333-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELIKAN",
"first_name": "YVETTE",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2017026573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YVETTE",
"last_name": "RENDON",
"middle_name": "KRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.