Individual provider Active NPI

Erika Lynn Ayanaw, ED.S

  • School Psychologist
  • Saint Charles, MO
National Provider Identifier
1699975045
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
190235003 Issued in CA
Practice address
2321 Chemin Ave
Saint Charles, MO 63301-5019
Phone
(314) 322-6085
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 LPC-1894T KS
School Psychologist 103TS0200X 190235003 CA Primary

Addresses

Primary practice location

2321 Chemin Ave
Saint Charles, MO 63301-5019

Mailing address

2321 Chemin Ave
Saint Charles, MO 63301-5019
Phone (314) 322-6085

Other names 1

  • Erika Lynn Redmond Other 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
LPC-1894TKSMDProfessional Counselor
190235003CAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1699975045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 CHEMIN AVE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633015019",
            "telephone_number": "314-322-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 CHEMIN AVE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633015019",
            "telephone_number": "314-322-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYANAW",
        "first_name": "ERIKA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ED.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC-1894T",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "190235003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "REDMOND",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.