Individual provider Active NPI

Kimberly Renee Vest, LPC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1780906388
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2018044995 Issued in MO
Practice address
1300 Hampton Ave Ste 200
Saint Louis, MO 63139-3163
Phone
(314) 276-1491
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2018044995 MO Primary

Addresses

Primary practice location

1300 Hampton Ave Ste 200
Saint Louis, MO 63139-3163

Mailing address

1300 Hampton Ave Ste 200
Saint Louis, MO 63139-3163
Phone (314) 276-1491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627000383 MO Practitioner - Mental Health Counselor 8224572680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Saint Peters Centre Blvd
Suite B
Saint Peters, MO 63376-1653
Phone (636) 336-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soulard Place LLC Mental Health CurrentSince May 10, 2024 Accepting new patients
Rcsquared Enterprises, LLC Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

1300 Hampton Ave
Ste 200
Saint Louis, MO 63139
Phone (314) 461-0226

150 Saint Peters Centre Blvd
Ste B
Saint Peters, MO 63376
Phone (314) 930-3520

Organizations & group practices 2

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1780906388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HAMPTON AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393163",
            "telephone_number": "314-276-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HAMPTON AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393163",
            "telephone_number": "314-276-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEST",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2018044995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.