Individual provider Active NPI

Martha C Lintvedt, L.P.C.,N.C.C.,A.C.S.

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1508098781
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002359 Issued in MO
Practice address
8050 Watson Rd. S Suite 335
Saint Louis, MO 63119
Phone
(618) 531-3344
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 002359 MO Primary

Addresses

Primary practice location

8050 Watson Rd. S Suite 335
Saint Louis, MO 63119

Mailing address

1322 Winding Creek CT
O'Fallon, IL 62269-6704
Phone (618) 531-3344

Other names 1

  • Marty Lintvedt Other name

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
002359MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1508098781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 WINDING CREEK CT",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "622696704",
            "telephone_number": "618-531-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 WATSON RD. S SUITE 335",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "618-531-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTVEDT",
        "first_name": "MARTHA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.,N.C.C.,A.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTY",
            "last_name": "LINTVEDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 10, 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.

Verify at the official NPI Registry.