Individual provider Active NPI

Courtney Lynne Luster, MA, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1558688408
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010006424 Issued in MO
Practice address
5647 Delmar Blvd Ste 226
Saint Louis, MO 63112
Phone
(314) 531-1770
NPI assigned
Apr 30, 2010
Reactivated
May 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 2010006424 MO Primary

Addresses

Primary practice location

5647 Delmar Blvd Ste 226
Saint Louis, MO 63112

Mailing address

4390 Lindell Blvd Ste 200
Saint Louis, MO 63108-2735
Phone (314) 956-0547

Other practice location 1

4390 Lindell Blvd Ste 200
Saint Louis, MO 63108-2735
Phone (314) 956-0547

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
2010006424MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Adolescent Life Therapy Professional 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.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1558688408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 LINDELL BLVD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082735",
            "telephone_number": "314-956-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 DELMAR BLVD STE 226",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63112",
            "telephone_number": "314-531-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4390 Lindell Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631082735",
            "country_code": "US",
            "telephone_number": "314-956-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSTER",
        "first_name": "COURTNEY",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2025-05-22",
        "certification_date": "2022-01-24",
        "deactivation_date": "2022-01-24",
        "reactivation_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010006424",
            "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 May 22, 2025; 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.