Individual provider Active NPI

Suzanne Calder

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1700603701
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2023033823 Issued in MO
Practice address
1000 Executive Parkway Dr Ste 106
Saint Louis, MO 63141-6369
Phone
(314) 469-5522
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 2023033823 MO Primary

Addresses

Primary practice location

1000 Executive Parkway Dr Ste 106
Saint Louis, MO 63141-6369

Mailing address

1000 Executive Parkway Dr Ste 106
Saint Louis, MO 63141-6369
Phone (314) 469-5522

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
2023033823MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Christian Counseling Professional CurrentSince Feb 23, 2025 Accepting new patients

Locations

1000 Executive Parkway Dr
Ste 106
Saint Louis, MO 63141
Phone (314) 289-6434

Organizations & group practices 1

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1700603701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-469-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416369",
            "telephone_number": "314-469-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDER",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023033823",
            "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 Sep 23, 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.