Individual provider Active NPI

Chelsea L Wire, MA, LPC

  • Professional Counselor
  • Wentzville, MO
National Provider Identifier
1619407012
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013008444 Issued in MO
Practice address
237 Creekside Office Dr
Wentzville, MO 63385
Phone
(636) 202-1412
Fax
(636) 201-3379
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 2013008444 MO Primary

Addresses

Primary practice location

237 Creekside Office Dr
Wentzville, MO 63385

Mailing address

1611 Highway W
Foristell, MO 63348-1016
Phone (314) 474-9400

Other practice location 1

1611 Highway W
Foristell, MO 63348-1016
Phone (314) 669-1099

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
I20240402002880 MO Practitioner - Mental Health Counselor 6204274848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2013008444MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC Professional CurrentSince Apr 18, 2024 Accepting new patients
Preferred Family Healthcare, Inc. PastSince Jul 1, 2022 Accepting new patients

Locations

1310 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 277-9890

400 N 5th St
Ste 201
Saint Charles, MO 63301
Phone (636) 238-2615

237 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 202-1412

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1619407012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 HIGHWAY W",
            "city": "FORISTELL",
            "state": "MO",
            "postal_code": "633481016",
            "telephone_number": "314-474-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 CREEKSIDE OFFICE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "63385",
            "telephone_number": "636-202-1412",
            "fax_number": "636-201-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 Highway W",
            "address_purpose": "LOCATION",
            "city": "Foristell",
            "state": "MO",
            "postal_code": "633481016",
            "country_code": "US",
            "telephone_number": "314-669-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRE",
        "first_name": "CHELSEA",
        "middle_name": "L",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013008444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.