Individual provider Active NPI

Peter Bogart, LPC, NCC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1669984142
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2011036949 Issued in MO
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

Updated by the provider on Jun 15, 2020

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 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

LicenseStateTypeSpecialty
2011036949MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All in Therapy, LLC CurrentSince Jun 14, 2020 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.

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.

Verify at the official NPI Registry.