Individual provider Active NPI

Calli Marie Wiatt, MS, LPC, NCC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1477334068
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2020005186 Issued in MO
Practice address
7602 Big Bend Blvd
Saint Louis, MO 63119-2106
Phone
(417) 848-3422
NPI assigned
Oct 10, 2023
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2020005186 MO Primary

Addresses

Primary practice location

7602 Big Bend Blvd
Saint Louis, MO 63119-2106

Mailing address

1691 Twin Oaks Dr
Arnold, MO 63010-1039
Phone (417) 848-3422

Other practice location 1

1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Phone (314) 206-3700

Other names 1

  • Calli Marie Romero 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
I20251124001014 MO Practitioner - Mental Health Counselor 1557853959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1129 Macklind Ave
Saint Louis, MO 63110-1440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020005186MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Behavioral Medicine Institute Inc CurrentSince Oct 13, 2025 Accepting new patients
St. Louis Behavioral Medicine Institute Inc Mental Health CurrentSince Oct 13, 2025 Accepting new patients

Locations

1129 Macklind Ave
Saint Louis, MO 63110
Phone (314) 534-0200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1477334068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 TWIN OAKS DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630101039",
            "telephone_number": "417-848-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192106",
            "telephone_number": "417-848-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Olive St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631032303",
            "country_code": "US",
            "telephone_number": "314-206-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIATT",
        "first_name": "CALLI",
        "middle_name": "MARIE",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020005186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLI",
            "last_name": "ROMERO",
            "middle_name": "MARIE",
            "credential": "MS, PLPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.