Individual provider Active NPI

Anita Harris Hampton

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1720767197
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.108960 Issued in IL
Practice address
2045 W Grand Ave
Suite B-45790
Chicago, IL 60612-1577
Phone
(508) 202-1011
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 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 178.108960 IL Primary

Addresses

Primary practice location

2045 W Grand Ave
Suite B-45790
Chicago, IL 60612-1577

Mailing address

601 Carr Street
Heritage Intermediate School
Wentzville, MO 63385
Phone (636) 327-3839

Other practice location 1

12818 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2945
Phone (314) 650-9537

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
I20250521003522 MO Practitioner - Mental Health Counselor 7315466414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mypathtoself IncGroup PAC ID 4082088323, 11 clinicians

Practice addresses (Care Compare)

12818 Tesson Ferry Rd
Suite 103
Saint Louis, MO 63128-2945
Phone (314) 923-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.108960ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mypathtoself Inc. CurrentSince May 1, 2025 Accepting new patients
Starling Medical Group, PC Professional PastSince Jul 16, 2023 Accepting new patients

Locations

12818 Tesson Ferry Rd
Ste 103
Saint Louis, MO 63128
Phone (314) 912-4655

2464 Taylor Rd
Wildwood, MO 63040

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1720767197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CARR STREET",
            "address_2": "HERITAGE INTERMEDIATE SCHOOL",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "63385",
            "telephone_number": "636-327-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE",
            "address_2": "SUITE B-45790",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577",
            "telephone_number": "508-202-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12818 Tesson Ferry Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282945",
            "country_code": "US",
            "telephone_number": "314-650-9537",
            "fax_number": "314-463-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "ANITA",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.108960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.