Active NPI
Eleanor Rose Moran, QMHP, LPC (IL), PLPC
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1780268953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2023001659
- Practice address
- 11102 Lindbergh Business CT
Saint Louis, MO 63123-7810 - Phone
- (314) 532-3244
- NPI assigned
- May 12, 2021
- Last updated
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.017996 | IL | |
| Professional Counselor | 101YP2500X | 2023001659 | MO | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
11102 Lindbergh Business CT
Saint Louis, MO 63123-7810
Mailing address
3309 S Kingshighway Blvd
Saint Louis, MO 63139-1101
Phone (314) 206-3700
Other practice location 1
988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone (618) 939-4444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.017996 | IL | MD | Mental Health Counselor |
| 2023001659 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1780268953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3309 S KINGSHIGHWAY BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631391101",
"telephone_number": "314-206-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11102 LINDBERGH BUSINESS CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631237810",
"telephone_number": "314-532-3244"
}
],
"practiceLocations": [
{
"address_1": "988 N Illinois Route 3",
"address_purpose": "LOCATION",
"city": "Waterloo",
"state": "IL",
"postal_code": "622981059",
"country_code": "US",
"telephone_number": "618-939-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "ELEANOR",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "QMHP, LPC (IL), PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.017996",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2023001659",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.