Active NPI
Laciee E Rousseau-Mayer, LPC, NCC, M.ED
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1871018747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2025006955
- Practice address
- 3284 Ivanhoe Ave Ste E
Saint Louis, MO 63139-2246 - Phone
- (314) 266-9331
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2025006955 | MO | Primary |
| Mental Health Counselor | 101YM0800X | 2025006955 | MO |
Addresses
Primary practice location
3284 Ivanhoe Ave Ste E
Saint Louis, MO 63139-2246
Mailing address
3284 Ivanhoe Ave Ste E
Saint Louis, MO 63139-2246
Other practice location 1
10024 Office Center Ave Ste 100
Saint Louis, MO 63128-1392
Phone (314) 729-7050
Other practice location 2
1001 Lynch St
Saint Louis, MO 63118-1818
Phone (314) 535-5600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2885 W Battlefield St
Springfield, MO 65807-3952
PO Box
Kansas City, MO 64184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025006955 | MO | MD | Professional Counselor |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Saint Louis, MO
- NPI 1073637377
-
- Community/Behavioral Health Agency
- Kirksville, MO
- NPI 1649474206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1871018747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3284 IVANHOE AVE STE E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631392246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3284 IVANHOE AVE STE E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631392246",
"telephone_number": "314-266-9331"
}
],
"practiceLocations": [
{
"address_1": "10024 Office Center Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631281392",
"country_code": "US",
"telephone_number": "314-729-7050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Lynch St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631181818",
"country_code": "US",
"telephone_number": "314-535-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUSSEAU-MAYER",
"first_name": "LACIEE",
"middle_name": "E",
"credential": "LPC, NCC, M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2025006955",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2025006955",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.