Individual provider Active NPI

Brendan Benn Templin

  • Professional Counselor
  • Creve Coeur, MO
National Provider Identifier
1669367348
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020011784 Issued in MO
Practice address
12141 Ladue Rd
Creve Coeur, MO 63141-8120
Phone
(314) 898-0100
NPI assigned
Jun 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178013219 IL
Professional Counselor 101YP2500X 2020011784 MO Primary

Addresses

Primary practice location

12141 Ladue Rd
Creve Coeur, MO 63141-8120

Mailing address

2650 Olive St
Saint Louis, MO 63103-1489
Phone (314) 802-2615

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
I20250904001087 MO Practitioner - Mental Health Counselor 8820590466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Provident IncGroup PAC ID 0345217279, 19 clinicians

Practice addresses (Care Compare)

12141 Ladue Rd
Saint Louis, MO 63141-8120
Phone (314) 878-4340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178013219ILMDProfessional Counselor
2020011784MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Inc. CurrentSince Jul 14, 2025 Accepting new patients

Locations

12141 Ladue Rd
Saint Louis, MO 63141
Phone (314) 878-4340

2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500

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": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1669367348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031489",
            "telephone_number": "314-802-2615",
            "fax_number": "314-842-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 LADUE RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631418120",
            "telephone_number": "314-898-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLIN",
        "first_name": "BRENDAN",
        "middle_name": "BENN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013219",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020011784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.