Organization Active NPI

Square One Counseling, LLC

  • Professional Counselor
  • Lake Saint Louis, MO
National Provider Identifier
1538699467
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2014031731 Issued in MO
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

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Ms. Julia Rose Schopp, MA, LPCNPI 1841645967
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
490031754MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.