Daniel David Pomerleau, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2019041723 Issued in MO

Practice address

11144 Tesson Ferry Rd Ste 101
Saint Louis, MO 63123-6965

Phone

(314) 729-1200

Fax

(314) 729-1201

NPI assigned

Jan 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shanon Harlow LLCGroup PAC ID 3375860588, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shanon Harlow, LLC

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1336519206

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1528698917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-729-1200",
            "fax_number": "314-729-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11144 TESSON FERRY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236965",
            "telephone_number": "314-729-1200",
            "fax_number": "314-729-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERLEAU",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2019041723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Polson, PSY.D.
• Susan Polson
• Bonnie Sue Polster, RN
• Anita B Polzin, MA, LPC
• Andrew M Pomerantz, PH. D.
• Patricia Pometto
• Anthony Gerard Pompa, MD
• Jessica Pona, NP
• Gio Paulo Ponce
• Carol Ponciroli

• Marriage & Family Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.