Individual provider Active NPI

Jean Earlene Moretto, PHD

  • Professional Counselor
  • Hazelwood, MO
National Provider Identifier
1619959533
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002544 Issued in MO
Practice address
737 Dunn Rd
Hazelwood, MO 63042-1740
Phone
(314) 731-2433
Fax
(314) 731-4433
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 002544 MO Primary

Addresses

Primary practice location

737 Dunn Rd
Hazelwood, MO 63042-1740

Mailing address

15 Rhinegarten Dr
Florissant, MO 63031-8610
Phone (314) 839-3948

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
I20231212001971 MO Practitioner - Mental Health Counselor 5092164368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Saint Louis University School of Medicine, 1998
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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Walters Walk Professional CurrentSince Jul 1, 2010 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619959533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RHINEGARTEN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318610",
            "telephone_number": "314-839-3948",
            "fax_number": "314-731-4433"
        },
        {
            "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": "314-731-2433",
            "fax_number": "314-731-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETTO",
        "first_name": "JEAN",
        "middle_name": "EARLENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.