Individual provider Active NPI

Joshua G Gilliam, LPC

  • Professional Counselor
  • Hazelwood, MO
National Provider Identifier
1508500372
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2022014708 Issued in MO
Practice address
737 Dunn Rd
Hazelwood, MO 63042-1740
Phone
(314) 274-9498
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 2022014708 MO Primary

Addresses

Primary practice location

737 Dunn Rd
Hazelwood, MO 63042-1740

Mailing address

2080 Loveland Dr
Florissant, MO 63031-2624
Phone (314) 605-9693

Other practice location 1

1001 Lynch St
Saint Louis, MO 63118-1818
Phone (314) 535-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919000334 MO Practitioner - Mental Health Counselor 4587105408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Places for People IncGroup PAC ID 6709167356, 17 clinicians

Practice addresses (Care Compare)

1001 Lynch St
Saint Louis, MO 63118-1818
Phone (314) 535-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Places for People, Inc. CurrentSince Aug 21, 2024 Accepting new patients

Locations

1001 Lynch St
Saint Louis, MO 63118
Phone (314) 535-5600

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1508500372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 LOVELAND DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312624",
            "telephone_number": "314-605-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 DUNN RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421740",
            "telephone_number": "314-274-9498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Lynch St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181818",
            "country_code": "US",
            "telephone_number": "314-535-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "JOSHUA",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022014708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.