Individual provider Active NPI

Clayton Notgrass, LMFT, LPC, NCC

  • Marriage & Family Therapist
  • Clayton, MO
National Provider Identifier
1790988301
Registry record updated Mar 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2004019050 Issued in MO
Practice address
501 S Brentwood Blvd
Clayton, MO 63105-2522
Phone
(314) 615-4400
Fax
(314) 615-4477
NPI assigned
Jun 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2007013688 MO
Professional Counselor 101YP2500X 1988 TN
Marriage & Family Therapist 106H00000X 2004019050 MO Primary
Marriage & Family Therapist 106H00000X 599 TN

Addresses

Primary practice location

501 S Brentwood Blvd
Clayton, MO 63105-2522

Mailing address

501 S Brentwood Blvd
Clayton, MO 63105-2522
Phone (314) 615-4400

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
2007013688MOMDProfessional Counselor
2004019050MOMDMarriage & Family Therapist
599TNMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235865600000",
    "number": "1790988301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S BRENTWOOD BLVD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052522",
            "telephone_number": "314-615-4400",
            "fax_number": "314-615-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BRENTWOOD BLVD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052522",
            "telephone_number": "314-615-4400",
            "fax_number": "314-615-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTGRASS",
        "first_name": "CLAYTON",
        "credential": "LMFT, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2009-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007013688",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1988",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2004019050",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; 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.