Individual provider Active NPI

Israelneisha Renee Eleby, LPC

  • Mental Health Counselor
  • Hazelwood, MO
National Provider Identifier
1609631910
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2025051624 Issued in MO
Practice address
737 Dunn Rd
Hazelwood, MO 63042-1740
Phone
(314) 203-0744
Fax
(314) 731-4433
NPI assigned
Feb 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2025051624 MO Primary

Addresses

Primary practice location

737 Dunn Rd
Hazelwood, MO 63042-1740

Mailing address

7801 Skyview Dr
Saint Louis, MO 63121-1307
Phone (314) 599-2709

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
I20260210002406 MO Practitioner - Mental Health Counselor 2567941586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walters WalkGroup PAC ID 0547619819, 5 clinicians

Practice addresses (Care Compare)

737 Dunn Rd
Hazelwood, MO 63042-1740
Phone (314) 731-2433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025051624MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walters Walk Counselor CurrentSince Feb 4, 2026 Accepting new patients
Change Course, LLC PastSince Feb 18, 2024 Accepting new patients
Faith Works Counseling LLC PastSince Feb 1, 2024 Accepting new patients

Locations

737 Dunn Rd
Hazelwood, MO 63042
Phone (314) 472-3433

Organizations & group practices 3

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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1609631910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 SKYVIEW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631211307",
            "telephone_number": "314-599-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 DUNN RD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421740",
            "telephone_number": "314-203-0744",
            "fax_number": "314-731-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEBY",
        "first_name": "ISRAELNEISHA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2025051624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.