Individual provider Active NPI

Alicia Nicole Cunningham, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1568979888
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017041097 Issued in MO
Practice address
4433 Woodson Rd Ste 102C
Saint Louis, MO 63134-3713
Phone
(314) 261-3044
Fax
(888) 501-0347
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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 2017041097 MO Primary

Addresses

Primary practice location

4433 Woodson Rd Ste 102C
Saint Louis, MO 63134-3713

Mailing address

4433 Woodson Rd Ste 102C
Saint Louis, MO 63134-3713
Phone (314) 261-3044

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

LicenseStateTypeSpecialty
2017041097MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Out Loud Counseling & Consultation Professional CurrentSince Aug 18, 2024 Accepting new patients

Locations

2623 Muegge Rd
Saint Charles, MO 63303
Phone (314) 261-3044

4433 Woodson Rd
Ste 102C
Saint Louis, MO 63134

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1568979888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 WOODSON RD STE 102C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343713",
            "telephone_number": "314-261-3044",
            "fax_number": "888-501-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 WOODSON RD STE 102C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631343713",
            "telephone_number": "314-261-3044",
            "fax_number": "888-501-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ALICIA",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017041097",
            "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 Jul 8, 2026; 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.