Active NPI
Mary Jo Schneller, PH.D.
- Pastoral Counselor
- Saint Louis, MO
National Provider Identifier
1538586318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- SC9C08A
- Practice address
- 315 Lemay Ferry Rd
Suite 132
Saint Louis, MO 63125-1501 - Phone
- (314) 637-7443
- NPI assigned
- Mar 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | SC9C08A | FL | Primary |
Addresses
Primary practice location
315 Lemay Ferry Rd
Suite 132
Saint Louis, MO 63125-1501
Mailing address
315 Lemay Ferry Rd
Suite 132
Saint Louis, MO 63125-1501
Phone (314) 637-7443
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC9C08A | FL | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Going Public Ministries | Past | Accepting new patients |
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.
-
dba Christian Counseling Network
- Professional Counselor
- Saint Louis, MO
- NPI 1104157387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1538586318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 LEMAY FERRY RD",
"address_2": "SUITE 132",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631251501",
"telephone_number": "314-637-7443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 LEMAY FERRY RD",
"address_2": "SUITE 132",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631251501",
"telephone_number": "314-637-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNELLER",
"first_name": "MARY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-18",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "SC9C08A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.