Active NPI
Joan H Kindleberger
- Mental Health Counselor
- Saint Louis, MO
National Provider Identifier
1568528586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW002243
- Practice address
- 5615 Pershing Ave
Suite 25
Saint Louis, MO 63112-1757 - Phone
- (314) 361-1520
- NPI assigned
- Dec 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW002243 | MO | Primary |
Addresses
Primary practice location
5615 Pershing Ave
Suite 25
Saint Louis, MO 63112-1757
Mailing address
5118 Westminster PL
Saint Louis, MO 63108-1121
Phone (314) 367-6868
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW002243 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568528586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 WESTMINSTER PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631081121",
"telephone_number": "314-367-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 PERSHING AVE",
"address_2": "SUITE 25",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631121757",
"telephone_number": "314-361-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDLEBERGER",
"first_name": "JOAN",
"middle_name": "H",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "SW002243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Kind Home Care, LLC
- Kathrine Marie Kinder
- Alisa Kindig, CWHNP
- Jane Kindle, RD, LD
- Katherine Ann Kindle, MD
- Kindred Hospitals East, LLC (Kindred Hospital - St. Louis - St. Anthonys)
- Kindred Hospitals East, LLC (Kindred Hospital - St. Louis at Mercy)
- Kindred Hospitals East, LLC (Kindred Hospital - St. Louis)
- Kindred Village Corporation (Da Birth Whisperer)
- Carole Severan Kindred, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.