Individual provider Active NPI

Marcia Santos Heckman

  • Counselor
  • Saint Charles, MO
National Provider Identifier
1750256533
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2025044076 Issued in MO
Practice address
2451 Executive Dr Ste 205
Saint Charles, MO 63303-5606
Phone
(636) 253-6207
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2025044076 MO Primary

Addresses

Primary practice location

2451 Executive Dr Ste 205
Saint Charles, MO 63303-5606

Mailing address

2451 Executive Dr Ste 205
Saint Charles, MO 63303-5606
Phone (314) 375-6599

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
2025044076MOMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1750256533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 EXECUTIVE DR STE 205",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035606",
            "telephone_number": "314-375-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 EXECUTIVE DR STE 205",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035606",
            "telephone_number": "636-253-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS HECKMAN",
        "first_name": "MARCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2025044076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.