Individual provider Active NPI

Charity E Ghitalla, MA, LPC

  • Professional Counselor
  • Clayton, MO
National Provider Identifier
1811797202
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2016043511 Issued in MO
Practice address
230 S Bemiston Ave Ste 1006
Clayton, MO 63105-1907
Phone
(314) 925-2634
NPI assigned
Mar 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2016043511 MO Primary

Addresses

Primary practice location

230 S Bemiston Ave Ste 1006
Clayton, MO 63105-1907

Mailing address

63 Bartley St
Saint Peters, MO 63376-2742
Phone (618) 670-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250404002293 MO Practitioner - Mental Health Counselor 4284158833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sonder Counseling LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

230 S Bemiston Ave
Ste 1006
Saint Louis, MO 63105
Phone (314) 925-2634

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1811797202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BARTLEY ST",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762742",
            "telephone_number": "618-670-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 1006",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051907",
            "telephone_number": "314-925-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHITALLA",
        "first_name": "CHARITY",
        "middle_name": "E",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2016043511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.