Safe Harbor Counseling of Missouri, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAFE HARBOR COUNSELING OF MISSOURI, LLC

Practice address

3106 Pearl Harbor Dr
Saint Ann, MO 63074-3809

Phone

(314) 704-2541

NPI assigned

Feb 16, 2024

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Mason, M.ED. LPC, NCCNPI 1154900975

Title

Owner / Lead Therapist

Phone

(314) 704-2541

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Mason, LPC

  • Professional Counselor
  • Saint Ann, MO
  • NPI 1154900975
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1871358093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 PEARL HARBOR DR",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630743809",
            "telephone_number": "314-704-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 PEARL HARBOR DR",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630743809",
            "telephone_number": "314-704-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR COUNSELING OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER / LEAD THERAPIST",
        "authorized_official_telephone_number": "314-704-2541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED. LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.