Active NPI
Tony Ingrassia, MAC, CIT
- Counselor
- St Charles, MO
National Provider Identifier
1679896609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1521 Boones Lick Rd
St Charles, MO 63301-2332 - Phone
- (636) 373-0745
- Fax
- (636) 300-1155
- NPI assigned
- Mar 4, 2010
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1521 Boones Lick Rd
St Charles, MO 63301-2332
Mailing address
1521 Boones Lick Rd
St Charles, MO 63301-2332
Phone (636) 373-0745
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1679896609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 BOONES LICK RD",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "633012332",
"telephone_number": "636-373-0745",
"fax_number": "636-300-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 BOONES LICK RD",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "633012332",
"telephone_number": "636-373-0745",
"fax_number": "636-300-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRASSIA",
"first_name": "TONY",
"name_prefix": "Mr.",
"credential": "MAC, CIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-04",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.