Emily A Vallarta, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2013030824 Issued in MO

Practice address

12301 Depaul Dr.
Bridgeton, MO 63044

Phone

(314) 344-7117

Fax

(314) 344-6794

NPI assigned

Dec 20, 2016

Last updated

Aug 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1770028193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HEATHERWOOD DR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622341444",
            "telephone_number": "314-363-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 DEPAUL DR.",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-344-7117",
            "fax_number": "314-344-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Craig Rd Ste 225",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631417138",
            "country_code": "US",
            "telephone_number": "314-388-2225",
            "fax_number": "314-624-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLARTA",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013030824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashfaq Ullah, MD
• Under Grace Adult Day Program
• United Investors LP (Life Care Center of Bridgeton)
• Derek Vadnal, DMD
• Amanda Theresa Vaicikauskas
• Jaina Vallarta, RN, MSN, APRN-BC
• Vijayalakshmi Vallurupalli, MD
• Van's Home Health, LLC (Van's Home Health)
• Rosa Vance, LMSW
• Vascular Institute at Depaul

• Professional Counselor in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.