Active NPI
Talib Nasir Salaam, PLPC
- Mental Health Counselor
- Rolla, MO
National Provider Identifier
1689247678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2025010926
- Practice address
- 1450 E 10TH St
Rolla, MO 65401-3648 - Phone
- (844) 853-8937
- Fax
- (660) 885-3690
- NPI assigned
- Jul 19, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2025010926 | MO | Primary |
Addresses
Primary practice location
1450 E 10TH St
Rolla, MO 65401-3648
Mailing address
4020 Lindell Blvd Apt 101
Saint Louis, MO 63108-3230
Phone (314) 365-7233
Other practice location 1
5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 367-7848
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 |
|---|---|---|---|
| 2025010926 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1689247678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 LINDELL BLVD APT 101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631083230",
"telephone_number": "314-365-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E 10TH ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013648",
"telephone_number": "844-853-8937",
"fax_number": "660-885-3690"
}
],
"practiceLocations": [
{
"address_1": "5701 Delmar Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631122617",
"country_code": "US",
"telephone_number": "314-367-7848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALAAM",
"first_name": "TALIB",
"middle_name": "NASIR",
"name_prefix": "Mr.",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2025010926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.