Individual provider Active NPI

Nabil Michael Sahuri, L.P.C., L.C.P.C.

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1720120983
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2001031963 Issued in MO
Practice address
4561 S Compton Ave
Saint Louis, MO 63111-1554
Phone
(314) 352-1770
Fax
(314) 351-2940
NPI assigned
Feb 13, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2001031963 MO Primary
Professional Counselor 101YP2500X IL

Addresses

Primary practice location

4561 S Compton Ave
Saint Louis, MO 63111-1554

Mailing address

402 Oregon St
Bethalto, IL 62010
Phone (618) 978-4366

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
180-004605ILMDProfessional Counselor
2001031963MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720120983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 OREGON ST",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "62010",
            "telephone_number": "618-978-4366",
            "fax_number": "314-351-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111554",
            "telephone_number": "314-352-1770",
            "fax_number": "314-351-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHURI",
        "first_name": "NABIL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.P.C., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001031963",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 9, 2007; 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.