Individual provider Active NPI

Roshanda Lynette Neal, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1578994562
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013042493 Issued in MO
Practice address
701 Market Street
Ste. 110 PMB 1345
St. Louis, MO 63101
Phone
(314) 368-6265
Fax
(314) 328-0036
NPI assigned
Dec 2, 2013
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.011307 IL
Professional Counselor 101YP2500X 2013042493 MO Primary
Professional Counselor 101YP2500X 37PC00660100 NJ

Addresses

Primary practice location

701 Market Street
Ste. 110 PMB 1345
St. Louis, MO 63101

Mailing address

701 Market Street
Ste. 110 PMB 1345
St. Louis, MO 63101
Phone (314) 368-6265

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
178.011307ILMDProfessional Counselor
2013042493MOMDProfessional Counselor
37PC00660100NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transforming Lives Counseling Service, LLC Professional Current Accepting new patients

Locations

5585 Pershing Ave
Ste 130
Saint Louis, MO 63112
Phone (314) 368-6265

701 Market St
Ste 110
Saint Louis, MO 63101
Phone (314) 368-6265

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, 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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1578994562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MARKET STREET",
            "address_2": "STE. 110 PMB 1345",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63101",
            "telephone_number": "314-368-6265",
            "fax_number": "314-328-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MARKET STREET",
            "address_2": "STE. 110 PMB 1345",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63101",
            "telephone_number": "314-368-6265",
            "fax_number": "314-328-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ROSHANDA",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011307",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013042493",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00660100",
            "primary": false
        }
    ],
    "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 Aug 9, 2023; 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.