Michal Devorah Goldstein

Individual provider Active NPI Professional Counselor · Town and Country, MO

NPI 1760195739 · NPPES record last updated Aug 26, 2025

Key facts

NPI
1760195739
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2020043300 (MO)
Practice address
425 S Woods Mill Rd Ste 150
Town and Country, MO 63017-9528
Phone
(636) 939-2550
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Behavioral Consultants LLC (595 clinicians)

Practice addresses (Care Compare)

425 S Woods Mill Rd
Suite 150
Town and Country, MO 63017-9528
Phone (314) 269-0335

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240508003919 MO Practitioner - Mental Health Counselor 9739520792 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Mental Health Current
since Apr 2, 2024
Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

425 S Woods Mill Rd
Ste 150
Town and Country, MO 63017
Phone (314) 269-0335

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2020043300 MO
Professional Counselor 101YP2500X 2020043300 MO Yes

Addresses

Primary practice location

425 S Woods Mill Rd Ste 150
Town and Country, MO 63017-9528

Mailing address

PO Box 675103
Detroit, MI 48267-5103

Other providers in Town and Country, MO

All providers in Town and Country, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.