Individual provider Active NPI

Tracie Marie Striebel, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1467040949
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2019008165 Issued in MO
Practice address
12141 Ladue Rd
Saint Louis, MO 63141-8120
Phone
(314) 878-4340
NPI assigned
Jan 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 2019008165 MO Primary

Addresses

Primary practice location

12141 Ladue Rd
Saint Louis, MO 63141-8120

Mailing address

2650 Olive St
Saint Louis, MO 63103-1489
Phone (314) 371-6500

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
I20231128002187 MO Practitioner - Mental Health Counselor 6406204643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonder Counseling LLCGroup PAC ID 9133524788, 10 clinicians

Practice addresses (Care Compare)

230 S Bemiston Ave
Suite 1006
Clayton, MO 63105-1907
Phone (314) 925-2634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019008165MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Inc. CurrentSince Jan 1, 2024 Accepting new patients
Sonder Counseling LLC CurrentSince Apr 15, 2024 Accepting new patients
Provident Inc Past Accepting new patients

Locations

230 S Bemiston Ave
Ste 1006
Saint Louis, MO 63105
Phone (314) 925-2634

12141 Ladue Rd
Saint Louis, MO 63141
Phone (314) 878-4340

2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500

11166 Tesson Ferry Rd
Ste 300
Saint Louis, MO 63123
Phone (314) 802-2647

Organizations & group practices 3

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": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1467040949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031489",
            "telephone_number": "314-371-6500",
            "fax_number": "314-842-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 LADUE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418120",
            "telephone_number": "314-878-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIEBEL",
        "first_name": "TRACIE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2023-09-14",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019008165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.