Active NPI
Chad D Cunningham
- Professional Counselor
- Wentzville, MO
National Provider Identifier
1619165966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007010482
- Practice address
- 11 Bear Fountain CT
Wentzville, MO 63385-3519 - Phone
- (636) 866-6246
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2007010482 | MO | Primary |
| Professional Counselor | 101YP2500X | CCMH019531 | NM | |
| Professional Counselor | 101YP2500X | LPC20998 | SD | |
| Professional Counselor | 101YP2500X | 14251128-6004 | UT |
Addresses
Primary practice location
11 Bear Fountain CT
Wentzville, MO 63385-3519
Mailing address
422 Parkgate Dr
Lake Saint Louis, MO 63367-4379
Phone (636) 866-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007010482 | MO | MD | Professional Counselor |
| CCMH019531 | NM | MD | Professional Counselor |
| LPC20998 | SD | MD | Professional Counselor |
| 14251128-6004 | UT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Behavioral Health and Developmental Services of Strafford County, Inc | Past | Accepting new patients | |
| Behavioral Health and Developmental Services of Strafford County, Inc | Past | Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000
Interoperability endpoints
- chad.cunningham@489656322949124.direct.elationemr.com
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Early Intervention Provider Agency
- Dover, NH
- NPI 1144381773
-
- Community/Behavioral Health Agency
- Rochester, NH
- NPI 1285793190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1619165966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 PARKGATE DR",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633674379",
"telephone_number": "636-866-6246",
"fax_number": "877-443-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BEAR FOUNTAIN CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853519",
"telephone_number": "636-866-6246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "CHAD",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007010482",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH019531",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC20998",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "14251128-6004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.