Ericka Clemmons, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2014044412 Issued in MO

Practice address

1515 N Warson Rd Ste 217
Saint Louis, MO 63132-1115

Phone

(636) 409-0111

NPI assigned

Jun 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intentional Alternatives LLC

  • Mental Health Counselor
  • Florissant, MO
  • NPI 1144417361
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1477967842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 217",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321115",
            "telephone_number": "636-409-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 217",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321115",
            "telephone_number": "636-409-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11650 New Halls Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336924",
            "country_code": "US",
            "telephone_number": "314-837-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1803 New Sun Ct",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630312784",
            "country_code": "US",
            "telephone_number": "314-556-2021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMMONS",
        "first_name": "ERICKA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2014044412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490019255",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Alice Clemens, MD PHD
• Amdiel Clement, MD
• Benjamin Daniel Clement, MD
• Marc F Clemente, MD
• Sarah Marie Clements, PNP
• James Antquinette Clemmons II, MD
• Samantha M Clemo, PSYD
• Jeannine M Clemons, DC
• Virginia Lorraine Sepich Clemons, RN CPNP
• Keith R. Clemson, LPC

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.