Individual provider Active NPI

Shannon Buechler, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1629431150
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010038928 Issued in MO
Practice address
4249 Clayton Ave
Call Center
Saint Louis, MO 63110-1718
Phone
(314) 747-4577
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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 2010038928 MO Primary

Addresses

Primary practice location

4249 Clayton Ave
Call Center
Saint Louis, MO 63110-1718

Mailing address

4249 Clayton Ave
Call Center
Saint Louis, MO 63110-1718
Phone (314) 747-4577

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

LicenseStateTypeSpecialty
2010038928MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1629431150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 CLAYTON AVE",
            "address_2": "CALL CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101718",
            "telephone_number": "314-747-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 CLAYTON AVE",
            "address_2": "CALL CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101718",
            "telephone_number": "314-747-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECHLER",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010038928",
            "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 Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.