Krista Shockley, M. ED., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2011033848 Issued in MO

Practice address

14323 S Outer 40 Rd Ste 512S
Town and Country, MO 63017-5734

Phone

(314) 526-0575

NPI assigned

Jan 14, 2014

Last updated

Jul 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1811319585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14323 S OUTER 40 RD STE 512S",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175734",
            "telephone_number": "314-526-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14323 S OUTER 40 RD STE 512S",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175734",
            "telephone_number": "314-526-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "KRISTA",
        "credential": "M. ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011033848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Marie Sinden-Gottfried, PH.D.
• Jill Solomon, M.S.,CCC-SLP
• St Louis Childrens Hospital (Children's Hospital Specialty Care Center Pharmacy)

• Mental Health Counselor in Town and Country, MO
• Providers in Town and Country, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.