Active NPI
Louis Faggetti
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1679808224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 9378 Olive Blvd
Suite 106
Saint Louis, MO 63132-3215 - Phone
- (314) 809-8226
- Fax
- (314) 567-8581
- NPI assigned
- Oct 14, 2009
- Last updated
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
9378 Olive Blvd
Suite 106
Saint Louis, MO 63132-3215
Mailing address
9378 Olive Blvd
Suite 106
Saint Louis, MO 63132-3215
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241231003375 | MO | Practitioner - Mental Health Counselor | 7810424991 | Practice locations: Hazelwood, MO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1679808224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9378 OLIVE BLVD",
"address_2": "SUITE 106",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631323215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9378 OLIVE BLVD",
"address_2": "SUITE 106",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631323215",
"telephone_number": "314-809-8226",
"fax_number": "314-567-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGGETTI",
"first_name": "LOUIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-14",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.