Active NPI
The Road Less Traveled Counseling Services LLC
- Mental Health Counselor
- Saint Charles, MO
National Provider Identifier
1811618580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.