Active NPI
Roshanda Lynette Neal, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1578994562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2013042493
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011307 | IL | MD | Professional Counselor |
| 2013042493 | MO | MD | Professional Counselor |
| 37PC00660100 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Saint Louis, MO
- NPI 1023529385
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.