Karolyn Maria Ratliff, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2020013539 Issued in MO

Practice address

11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966

Phone

(314) 802-2647

Fax

(314) 842-2552

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Karolyn Maria Bochmann Former name

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Provident IncGroup PAC ID 0345217279, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Provident Inc.

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1710023791
  Medicare reassignment Care Compare group NPD
• Provident Inc

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1043491020
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1508596461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11166 TESSON FERRY RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236966",
            "telephone_number": "314-802-2647",
            "fax_number": "314-842-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 TESSON FERRY RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236966",
            "telephone_number": "314-802-2647",
            "fax_number": "314-842-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "KAROLYN",
        "middle_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020013539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROLYN",
            "last_name": "BOCHMANN",
            "middle_name": "MARIA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Irene Marion Rathjen, PNP
• Maanjot Rathore
• Denise Ratino
• Gary Alan Ratkin, MD
• Alma Renee Ratley, LPC, CCTP
• Karter Shipley Ratliff
• Leeandre L Ratliff
• Stacie Lynn Ratliff, MS IN COUNSELING EDU
• Stephenie Ratliff
• Wayne Darryl Ratliff, R.PH

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.