Active NPI
Lori E. Kiefer, LPC
- Mental Health Counselor
- Saint Louis, MO
National Provider Identifier
1578660106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2001015120
- Practice address
- 8772 Big Bend Blvd
Saint Louis, MO 63119-3730 - Phone
- (314) 962-7788
- Fax
- (314) 962-4158
- NPI assigned
- Sep 17, 2006
- 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 | 2001015120 | MO | Primary |
Addresses
Primary practice location
8772 Big Bend Blvd
Saint Louis, MO 63119-3730
Mailing address
8772 Big Bend Blvd
Saint Louis, MO 63119-3730
Phone (314) 962-7788
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177209 | Other | MO | BCBS |
| 214567 | Other | MO | COMPYSCH |
| 7632437 | Other | MO | AETNA |
| 286901 | Other | MO | MANAGED HEALTH NETWORK |
| 455823 | Other | MO | VALUE OPTIONS |
| 634064 | Other | MO | HEALTHLINK |
Other names 1
- Ms. Lori E. Kiefer
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 |
|---|---|---|---|
| 2001015120 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Change, LLC | 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.
-
- Clinical Psychologist
- Ellisville, MO
- NPI 1760515498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578660106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8772 BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631193730",
"telephone_number": "314-962-7788",
"fax_number": "314-962-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8772 BIG BEND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631193730",
"telephone_number": "314-962-7788",
"fax_number": "314-962-4158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "LORI",
"middle_name": "E.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2001015120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "177209",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPYSCH",
"identifier": "214567",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7632437",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "286901",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "455823",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "634064",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "KIEFER",
"middle_name": "E.",
"prefix": "MS.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
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, 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.