Active NPI
Brian Bachman, LPC
- Professional Counselor
- Webster Groves, MO
National Provider Identifier
1528657103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2018043310
- Practice address
- 7905 Big Bend Blvd Ste 200
Webster Groves, MO 63119-2715 - Phone
- (314) 775-3062
- NPI assigned
- Jan 18, 2021
- Last updated
- Jan 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2018043310 | MO | |
| Professional Counselor | 101YP2500X | 2018043310 | MO | Primary |
Addresses
Primary practice location
7905 Big Bend Blvd Ste 200
Webster Groves, MO 63119-2715
Mailing address
1055 Carole LN
Ellisville, MO 63021-4727
Phone (314) 775-3062
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018043310 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1528657103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 CAROLE LN",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630214727",
"telephone_number": "314-775-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 BIG BEND BLVD STE 200",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192715",
"telephone_number": "314-775-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "BRIAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2018043310",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2018043310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Groves, MO
- Alternative Health & Wellness Center Mid-America, Inc.
- American Pain Management and Rehab LLC
- Jessica Andersen
- Ann Haddock Ross LLC
- Joseph Azar, DDS
- Rodney Bachman, PHARMD
- Back & Neck Care Center of Webster Groves, LLC
- Kelly Alexis Baird, PLBA, QASPS
- Bamboo Family Inc. (HomeWell Cares)
- Mary Patrice Banton, M.ED., LPC, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.