Individual provider Active NPI

Amy Beck, MACL, LPC

  • Professional Counselor
  • Creve Coeur, MO
National Provider Identifier
1548704166
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015009899 Issued in MO
Practice address
11628 Old Ballas Rd Ste 207
Creve Coeur, MO 63141-7030
Phone
(314) 329-8608
NPI assigned
Dec 16, 2016
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015009899 MO Primary

Addresses

Primary practice location

11628 Old Ballas Rd Ste 207
Creve Coeur, MO 63141-7030

Mailing address

2859 Foxwood Dr
Maryland Heights, MO 63043-1767
Phone (314) 799-6899

Other practice location 1

5 Dandelion Dr
Troy, MO 63379-3177
Phone (888) 403-1071

Other practice location 2

745 Craig Rd
Creve Coeur, MO 63141-7160
Phone (314) 799-6899

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231229000621 MO Practitioner - Mental Health Counselor 5395195515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Change STL LLCGroup PAC ID 4486004603, 3 clinicians

Practice addresses (Care Compare)

655 Craig Rd
Suite 230
Creve Coeur, MO 63141-7170
Phone (314) 974-7018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015009899MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Change STL LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Compass Health, Inc. Past Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

655 Craig Rd
Ste 230
Saint Louis, MO 63141
Phone (314) 400-8073

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1548704166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 FOXWOOD DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431767",
            "telephone_number": "314-799-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 207",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-329-8608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Dandelion Dr",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633793177",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417160",
            "country_code": "US",
            "telephone_number": "314-799-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "AMY",
        "credential": "MACL, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.