Diane Elizabeth Klenke, MA. PLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012013127 Issued in MO

Practice address

1011 Bedford LN
Ballwin, MO 63011-1504

Phone

(636) 226-7559

NPI assigned

Jan 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Diane Elizabeth Zandstra-Klenke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1821336082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 BEDFORD LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630111504",
            "telephone_number": "636-226-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BEDFORD LN",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630111504",
            "telephone_number": "636-226-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENKE",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MA. PLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012013127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "ZANDSTRA-KLENKE",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "MA PLPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.