Active NPI
Jennifer Walsh, LPC
- Counselor
- Saint Louis, MO
National Provider Identifier
1629689344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2020021539
- Practice address
- 5704 Rosa Ave
Saint Louis, MO 63109-3256 - Phone
- (314) 882-2702
- NPI assigned
- Aug 14, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2020021539 | MO | Primary |
Addresses
Primary practice location
5704 Rosa Ave
Saint Louis, MO 63109-3256
Mailing address
5704 Rosa Ave
Saint Louis, MO 63109-3256
Phone (314) 882-2702
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 |
|---|---|---|---|
| 2020021539 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1629689344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5704 ROSA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093256",
"telephone_number": "314-882-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5704 ROSA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093256",
"telephone_number": "314-882-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "JENNIFER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-14",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2020021539",
"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 Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.