Individual provider Active NPI

Eve T Dyson, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1720181340
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CS002779 Issued in MO
Practice address
1010 Thoreau CT Unit 307
Saint Louis, MO 63146-5551
Phone
(314) 220-3692
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 CS002779 MO Primary

Addresses

Primary practice location

1010 Thoreau CT Unit 307
Saint Louis, MO 63146-5551

Mailing address

1010 Thoreau CT Unit 307
Saint Louis, MO 63146-5551
Phone (314) 220-3692

Other identifiers 1

IdentifierTypeStateIssuer
494009814MedicaidMO

Other names 1

  • Eve T Kahn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014000226 MO Practitioner - Mental Health Counselor 8820585920 Practice locations: Saint Louis, MO; Creve Coeur, MO

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Saint Louis, MO 63146
Phone (314) 220-3692

1010 Thoreau CT
Unit 307
Saint Louis, MO 63146-5540

11628 Old Ballas Rd
Creve Coeur, MO 63141-7030
Phone (314) 220-3692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CS002779MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1720181340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 THOREAU CT UNIT 307",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465551",
            "telephone_number": "314-220-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THOREAU CT UNIT 307",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465551",
            "telephone_number": "314-220-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "EVE",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "CS002779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494009814",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "KAHN",
            "middle_name": "T",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.