Individual provider Active NPI

Ann Marie Herman, MA, LPC, NCC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1639294150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2001001545 Issued in MO
Practice address
820 S Main St
Suite 307
Saint Charles, MO 63301-3306
Phone
(636) 634-9912
Fax
(636) 947-5941
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2001001545 MO Primary

Addresses

Primary practice location

820 S Main St
Suite 307
Saint Charles, MO 63301-3306

Mailing address

820 S Main St
Suite 307
Saint Charles, MO 63301-3306
Phone (636) 634-9912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 16, 2024 through Sep 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2001001545MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charlespointe Counseling LLC Past Accepting new patients

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639294150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MAIN ST",
            "address_2": "SUITE 307",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633013306",
            "telephone_number": "636-634-9912",
            "fax_number": "636-947-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MAIN ST",
            "address_2": "SUITE 307",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633013306",
            "telephone_number": "636-634-9912",
            "fax_number": "636-947-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001001545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.