Organization Active NPI

Stephanie Devereux LPC LLC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1821668864
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
STEPHANIE DEVEREUX LPC LLC
Practice address
2536 S Old Highway 94 Ste 234
Saint Charles, MO 63303-5612
Phone
(636) 352-2947
Fax
(636) 947-3155
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Stephanie Devereux, LPCNPI 1639582455
Title
Managing Member
Phone
(636) 219-6678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2536 S Old Highway 94 Ste 234
Saint Charles, MO 63303-5612

Mailing address

53 Pensacola CT
O Fallon, MO 63368-6689
Phone (636) 219-6678

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://simplepractice.com Direct

National Provider Directory

National Provider Directory

Locations

2536 S Old Highway 94
Ste 234
Saint Charles, MO 63303
Phone (217) 816-2302

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1821668864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PENSACOLA CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633686689",
            "telephone_number": "636-219-6678",
            "fax_number": "636-947-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 S OLD HIGHWAY 94 STE 234",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633035612",
            "telephone_number": "636-352-2947",
            "fax_number": "636-947-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE DEVEREUX LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "DEVEREUX",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "636-219-6678",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "simple practice is a practice management software that is hippa compliant for clients and any data exchange between my practice and health insurance exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2536 S Old Highway 94 Ste 234",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633035612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 1, 2021; 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.