Active NPI
Square One Counseling, LLC
- Professional Counselor
- Lake Saint Louis, MO
National Provider Identifier
1538699467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2014031731
- Legal business name
- SQUARE ONE COUNSELING, LLC
- Practice address
- 920 Bent Oak CT Ste B
Lake Saint Louis, MO 63367-1485 - Phone
- (314) 808-2346
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julia Rose Schopp, MA, LPC
- Title
- LPC
- Phone
- (314) 808-2346
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2014031731 | MO | Primary |
Addresses
Primary practice location
920 Bent Oak CT Ste B
Lake Saint Louis, MO 63367-1485
Mailing address
2544 Autumn Fields LN
Wentzville, MO 63385-3071
Phone (314) 808-2346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490031754 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
920 Bent Oak Ct
Ste B
Lake Saint Louis, MO 63367
Phone (314) 808-2346
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- O Fallon, MO
- NPI 1841645967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497312000000",
"number": "1538699467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2544 AUTUMN FIELDS LN",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853071",
"telephone_number": "314-808-2346",
"fax_number": "636-277-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 BENT OAK CT STE B",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633671485",
"telephone_number": "314-808-2346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SQUARE ONE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A",
"authorized_official_last_name": "SCHOPP",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "LPC",
"authorized_official_telephone_number": "314-808-2346",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2014031731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490031754",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.