Organization Active NPI

The Road Less Traveled Counseling Services LLC

  • Mental Health Counselor
  • Saint Charles, MO
National Provider Identifier
1811618580
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE ROAD LESS TRAVELED COUNSELING SERVICES LLC
Practice address
13 Droste SQ
Saint Charles, MO 63301-4819
Phone
(636) 519-4107
NPI assigned
Sep 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Jenna McDonnell, LPC
Title
Owner
Phone
(636) 519-4107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

13 Droste SQ
Saint Charles, MO 63301-4819

Mailing address

13 Droste SQ
Saint Charles, MO 63301-4819
Phone (636) 519-4107

National Provider Directory

National Provider Directory

Locations

13 Droste Sq
Saint Charles, MO 63301
Phone (636) 519-4107

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1811618580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DROSTE SQ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014819",
            "telephone_number": "636-519-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 DROSTE SQ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014819",
            "telephone_number": "636-519-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROAD LESS TRAVELED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-519-4107",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.