Active NPI
Trinette R Henley, LPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1619667110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2022041793
- Practice address
- 12140 Criterion Ave
Saint Louis, MO 63138-2623 - Phone
- (314) 265-6914
- NPI assigned
- May 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2022041793 | MO | Primary |
Addresses
Primary practice location
12140 Criterion Ave
Saint Louis, MO 63138-2623
Mailing address
12140 Criterion Ave
Saint Louis, MO 63138-2623
Phone (314) 265-6914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022041793 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1619667110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12140 CRITERION AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631382623",
"telephone_number": "314-265-6914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12140 CRITERION AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631382623",
"telephone_number": "314-265-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLEY",
"first_name": "TRINETTE",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-09",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2022041793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.