Individual provider Active NPI

Abigail Claeys, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1477968402
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013022307 Issued in MO
Practice address
5106 Hampton Ave Ste 208
Saint Louis, MO 63109-3115
Phone
(314) 717-1238
NPI assigned
Jun 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013022307 MO Primary
Professional Counselor 101YP2500X 180.008645 IL

Addresses

Primary practice location

5106 Hampton Ave Ste 208
Saint Louis, MO 63109-3115

Mailing address

3444 Missouri Ave
Saint Louis, MO 63118-3237
Phone (217) 232-3055

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

LicenseStateTypeSpecialty
180.008645ILMDProfessional Counselor
2013022307MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1477968402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 MISSOURI AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183237",
            "telephone_number": "217-232-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 HAMPTON AVE STE 208",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093115",
            "telephone_number": "314-717-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAEYS",
        "first_name": "ABIGAIL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-28",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013022307",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 21, 2016; 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.