Individual provider Active NPI

Elizabeth Kay Ranheim, LPC

  • Professional Counselor
  • Creve Coeur, MO
National Provider Identifier
1740021450
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020021140 Issued in MO
Practice address
1000 Executive Parkway Dr
Creve Coeur, MO 63141-6325
Phone
(314) 469-5522
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 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 2020021140 MO Primary

Addresses

Primary practice location

1000 Executive Parkway Dr
Creve Coeur, MO 63141-6325

Mailing address

1000 Executive Parkway Dr Ste 106
Creve Coeur, 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
Opted out of Medicare
Yes, effective Dec 4, 2025 through Dec 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020021140MOMDProfessional 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) 329-7107

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1740021450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE PARKWAY DR STE 106",
            "city": "CREVE COEUR",
            "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",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416325",
            "telephone_number": "314-469-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANHEIM",
        "first_name": "ELIZABETH",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020021140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.