Individual provider Active NPI

Lauren Kofron, LPC

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1689482069
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2022032266 Issued in MO
Practice address
6744 Clayton Rd Ste 221
Saint Louis, MO 63117-1634
Phone
(314) 720-2710
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 2022032266 MO Primary

Addresses

Primary practice location

6744 Clayton Rd Ste 221
Saint Louis, MO 63117-1634

Mailing address

812 Manitou Dr
Saint Louis, MO 63119-1230
Phone (314) 791-4103

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

LicenseStateTypeSpecialty
2022032266MOMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1689482069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 MANITOU DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191230",
            "telephone_number": "314-791-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 CLAYTON RD STE 221",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171634",
            "telephone_number": "314-720-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFRON",
        "first_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "MO",
            "license": "2022032266",
            "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 Dec 18, 2024; 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.