Active NPI
Rebecca Anne Lazalier, LPC
- Professional Counselor
- O'Fallon, MO
National Provider Identifier
1477876944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2010007551
- Practice address
- 801 Woodlawn Ave Ste 33
O Fallon, MO 63366-7829 - Phone
- (314) 640-2256
- Fax
- (636) 206-2844
- NPI assigned
- Mar 11, 2010
- Last updated
- Mar 3, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2010007551 | MO | Primary |
Addresses
Primary practice location
801 Woodlawn Ave Ste 33
O Fallon, MO 63366-7829
Mailing address
206 Sutters Mill Rd
Saint Peters, MO 63376-2564
Phone (314) 640-2256
Other names 1
- Miss Rebecca Anne Miller
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 |
|---|---|---|---|
| 2010007551 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KS Counseling LLC | Professional | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Saint Charles, MO
- NPI 1356667307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1477876944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SUTTERS MILL RD",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762564",
"telephone_number": "314-640-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 WOODLAWN AVE STE 33",
"city": "O FALLON",
"state": "MO",
"postal_code": "633667829",
"telephone_number": "314-640-2256",
"fax_number": "636-206-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZALIER",
"first_name": "REBECCA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2010007551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "MILLER",
"middle_name": "ANNE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.