Active NPI
Peter Bogart, LPC, NCC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1669984142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2011036949
- Practice address
- 7710 Carondelet
Suite #204
Saint Louis, MO 63105 - Phone
- (314) 403-2611
- NPI assigned
- Oct 24, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2011036949 | MO | Primary |
Addresses
Primary practice location
7710 Carondelet
Suite #204
Saint Louis, MO 63105
Mailing address
343 S Kirkwood Rd Unit 221231
Saint Louis, MO 63122-7064
Phone (314) 403-2611
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 |
|---|---|---|---|
| 2011036949 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All in Therapy, LLC | Current | Accepting new patients |
Locations
343 S Kirkwood Rd
Unit 221231
Saint Louis, MO 63122
7710 Carondelet Ave
Ste 204
Saint Louis, MO 63105
Phone (314) 403-2611
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.
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1851912240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1669984142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 S KIRKWOOD RD UNIT 221231",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631227064",
"telephone_number": "314-403-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 CARONDELET",
"address_2": "SUITE #204",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63105",
"telephone_number": "314-403-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGART",
"first_name": "PETER",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-24",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2011036949",
"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 Jun 15, 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.