Individual provider Active NPI

Mary Frances Meidinger, LICENSED PROFESSIONA

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1689685737
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CS001662 Issued in MO
Practice address
112 W. Jefferson Ave
Suite 125
Saint Louis, MO 63122-4200
Phone
(314) 276-9591
Fax
(314) 689-0376
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CS001662 MO Primary

Addresses

Primary practice location

112 W. Jefferson Ave
Suite 125
Saint Louis, MO 63122-4200

Mailing address

112 W. Jefferson Ave
Suite 125
Saint Louis, MO 63122-4200
Phone (314) 276-9591

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
CS001662MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1689685737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W. JEFFERSON AVE",
            "address_2": "SUITE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224200",
            "telephone_number": "314-276-9591",
            "fax_number": "314-689-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W. JEFFERSON AVE",
            "address_2": "SUITE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631224200",
            "telephone_number": "314-276-9591",
            "fax_number": "314-689-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIDINGER",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "CS001662",
            "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 16, 2013; 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.