Individual provider Active NPI

Sharon Denise Lander, LPC

  • Professional Counselor
  • Fenton, MO
National Provider Identifier
1609580828
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020009465 Issued in MO
Practice address
5 Premier Dr Ste 200
Fenton, MO 63026-2943
Phone
(314) 314-3800
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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 2020009465 MO Primary

Addresses

Primary practice location

5 Premier Dr Ste 200
Fenton, MO 63026-2943

Mailing address

5 Premier Dr Ste 200
Fenton, MO 63026-2943
Phone (314) 314-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208000935 MO Practitioner - Mental Health Counselor 1850740416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Counseling, IncGroup PAC ID 7214901289, 14 clinicians

Practice addresses (Care Compare)

5 Premier Dr
Suite 200
Fenton, MO 63026-2943
Phone (314) 544-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Counseling Inc CurrentSince Jan 1, 2024 Accepting new patients
Catholic Family Services Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

5 Premier Dr
Ste 200
Fenton, MO 63026
Phone (314) 314-3800

Organizations & group practices 2

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1609580828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PREMIER DR STE 200",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262943",
            "telephone_number": "314-314-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PREMIER DR STE 200",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262943",
            "telephone_number": "314-314-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDER",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020009465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.