Individual provider Active NPI

Margaret T Petri Jokerst, LPC, LCPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1689933863
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001923 Issued in MO
Practice address
9530 Watson Industrial Park
Suite a
Saint Louis, MO 63126-1542
Phone
(314) 963-8368
Fax
(314) 963-8935
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.001166 IL
Professional Counselor 101YP2500X 001923 MO Primary

Addresses

Primary practice location

9530 Watson Industrial Park
Suite a
Saint Louis, MO 63126-1542

Mailing address

10805 Sunset Office Drive, Suite 300
St. Louis, MO 63127-1027
Phone (314) 238-1213

Other identifiers 1

IdentifierTypeStateIssuer
1487791786MedicaidMO

Other names 1

  • Ms. Margaret T Petri Professional name

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
180.001166ILMDProfessional Counselor
001923MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1689933863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 SUNSET OFFICE DRIVE, SUITE 300",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631271027",
            "telephone_number": "314-238-1213",
            "fax_number": "314-238-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 WATSON INDUSTRIAL PARK",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261542",
            "telephone_number": "314-963-8368",
            "fax_number": "314-963-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRI JOKERST",
        "first_name": "MARGARET",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.001166",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487791786",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "PETRI",
            "middle_name": "T",
            "prefix": "MS.",
            "credential": "LPC, LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Aug 18, 2017; 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.