Individual provider Active NPI

Amy G Rauscher, LPC, CRC

  • Professional Counselor
  • Kirkwood, MO
National Provider Identifier
1689272742
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017008212 Issued in MO
Practice address
439 S Kirkwood Rd Ste 208
Kirkwood, MO 63122-6100
Phone
(314) 691-4422
NPI assigned
Oct 12, 2020
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 2017008212 MO Primary

Addresses

Primary practice location

439 S Kirkwood Rd Ste 208
Kirkwood, MO 63122-6100

Mailing address

439 S Kirkwood Rd Ste 208
Kirkwood, MO 63122-6100
Phone (314) 691-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2024 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017008212MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amy G Rauscher Counseling LLC Current Accepting new patients
Sandhill Counseling and Consultation, LLC Professional PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1689272742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 S KIRKWOOD RD STE 208",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226100",
            "telephone_number": "314-691-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S KIRKWOOD RD STE 208",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226100",
            "telephone_number": "314-691-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCHER",
        "first_name": "AMY",
        "middle_name": "G",
        "credential": "LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2022-01-10",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017008212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

Verify at the official NPI Registry.