Roger J Fournelle Jr., MED LPC NCC NCP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

61290

Practice address

3720 Hampton Ave
Suite 207
Saint Louis, MO 63109-1438

Phone

(314) 559-4209

Fax

(314) 752-9445

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538138375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 BOWEN ST",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631163123",
            "telephone_number": "314-752-9445",
            "fax_number": "314-752-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 HAMPTON AVE",
            "address_2": "SUITE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091438",
            "telephone_number": "314-559-4209",
            "fax_number": "314-752-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNELLE",
        "first_name": "ROGER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MED LPC NCC NCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "61290",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2000152363",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "01194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "179068",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7811255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Tintera Foulkes, LPTA
• Foundations for Change, LLC
• Marsha L Fountain, RN
• Four Hearts Mobility Services LLC
• Elizabeth Anne Fourman
• Mary Elizabeth Fournier, MD
• Thomas Jonathan Foutz, MD
• Kathleen Fowler
• Latosha R Fowlkes, LCSW
• Alexander Christian Fox, RN, PMNHP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.