Mareayna Daucha Caine, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2017007106 Issued in MO

Practice address

3910 S Old Highway 94 Ste 112
Saint Charles, MO 63304-2834

Phone

(636) 299-0207

NPI assigned

Mar 11, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Empower Your Vision

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Charles, MO
  • NPI 1760265383
  NPD Authorized official

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1841758679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 CHARTER WOOD CT",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630431405",
            "telephone_number": "314-323-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S OLD HIGHWAY 94 STE 112",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042834",
            "telephone_number": "636-299-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8790 Manchester Rd # 205B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442707",
            "country_code": "US",
            "telephone_number": "314-898-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAINE",
        "first_name": "MAREAYNA",
        "middle_name": "DAUCHA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2017007106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bussen, LPC
• Bradley Alan Byergo, OD
• Kodi Byrd
• Sarah Magdalene Cady, MS, LPC, CRADC
• Alexis Cain
• Frank S. Calandrino Jr., M.D.
• Shelby Nicole Callahan
• Kristin Shelbie Callaway, PHARMD
• Kayelee Calmer, MOTR/L
• Cambridge Adult Day - St. Charles LLC

• Mental Health Counselor in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.