Individual provider Active NPI

Stephanie McManus, PLPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1487494696
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022048825 Issued in MO
Practice address
4121 Union Rd Ste 207
Saint Louis, MO 63129-1070
Phone
(314) 730-6787
Fax
(314) 730-6585
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 2022048825 MO Primary

Addresses

Primary practice location

4121 Union Rd Ste 207
Saint Louis, MO 63129-1070

Mailing address

12450 Lighthouse Way Dr Apt a
Creve Coeur, MO 63141-6495

Other practice location 1

4121 Union Rd Ste 225
Saint Louis, MO 63129-1093
Phone (314) 730-6787

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
2022048825MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda L Woollard Ma LPC, LLC PastSince Jun 2, 2024 Accepting new patients
Go With the Flow Therapy PastSince Jun 2, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1487494696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 LIGHTHOUSE WAY DR APT A",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 UNION RD STE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291070",
            "telephone_number": "314-730-6787",
            "fax_number": "314-730-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 Union Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631291093",
            "country_code": "US",
            "telephone_number": "314-730-6787",
            "fax_number": "314-730-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "STEPHANIE",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022048825",
            "primary": true
        }
    ],
    "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 May 28, 2024; 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.