Individual provider Active NPI

Sabrina May Heidemann-Wells, MA, LPC

  • Professional Counselor
  • Bridgeton, MO
National Provider Identifier
1497919781
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2007014780 Issued in MO
Practice address
3817 Raymond Ave
Bridgeton, MO 63044-2932
Phone
(314) 623-4272
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 2007014780 MO Primary

Addresses

Primary practice location

3817 Raymond Ave
Bridgeton, MO 63044-2932

Mailing address

3817 Raymond Ave
Bridgeton, MO 63044-2932
Phone (314) 623-4272

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2007014780MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Counseling LLC CurrentSince Nov 9, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1497919781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 RAYMOND AVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442932",
            "telephone_number": "314-623-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 RAYMOND AVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442932",
            "telephone_number": "314-623-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEMANN-WELLS",
        "first_name": "SABRINA",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007014780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.