Individual provider Active NPI

Chad D Cunningham

  • Professional Counselor
  • Wentzville, MO
National Provider Identifier
1619165966
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2007010482 Issued in MO
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007010482MOMDProfessional Counselor
CCMH019531NMMDProfessional Counselor
LPC20998SDMDProfessional Counselor
14251128-6004UTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Compass Health, Inc CurrentSince Jan 1, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.