Individual provider Active NPI

David Loren Hart Jr., PH. D., LPC, NCC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1679685119
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CS002663 Issued in MO
Practice address
4561 S Compton Ave
Saint Louis, MO 63111-1554
Phone
(314) 352-1770
Fax
(314) 351-2940
NPI assigned
Aug 31, 2006
Last updated
Jun 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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 CS002663 MO Primary

Addresses

Primary practice location

4561 S Compton Ave
Saint Louis, MO 63111-1554

Mailing address

2901 Iowa Ave
Saint Louis, MO 63118-1414
Phone (314) 664-6151

Other identifiers 1

IdentifierTypeStateIssuer
493917603MedicaidMO

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CS002663MOMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1679685119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 IOWA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181414",
            "telephone_number": "314-664-6151",
            "fax_number": "314-351-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111554",
            "telephone_number": "314-352-1770",
            "fax_number": "314-351-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "DAVID",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH. D., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "CS002663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493917603",
            "state": "MO"
        }
    ],
    "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 27, 2014; 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.