Individual provider Active NPI

Laciee E Rousseau-Mayer, LPC, NCC, M.ED

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1871018747
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025006955 Issued in MO
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

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407002247 MO Practitioner - Mental Health Counselor 3375018336 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
2025006955MOMDProfessional 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.

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

Verify at the official NPI Registry.