Active NPI
Clayton Notgrass, LMFT, LPC, NCC
- Marriage & Family Therapist
- Clayton, MO
National Provider Identifier
1790988301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2004019050
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2007013688 | MO | MD | Professional Counselor |
| 2004019050 | MO | MD | Marriage & Family Therapist |
| 599 | TN | MD | Specialist |
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.