Active NPI
Kenyatta Cole
- Professional Counselor
- Des Peres, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 13100 Manchester Rd Ste 155
Des Peres, MO 63131-1703 - Phone
- (314) 394-1171
- NPI assigned
- Aug 26, 2020
- Last updated
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
13100 Manchester Rd Ste 155
Des Peres, MO 63131-1703
Mailing address
13100 Manchester Rd Ste 155
Des Peres, MO 63131-1703
Phone (314) 394-1171
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)
12800 Corporate Hill Dr
Saint Louis, MO 63131-1833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Foundations for Change, LLC | Professional | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
12355 De Paul Dr
Ste 150
Bridgeton, MO 63044
Phone (314) 344-7153
12355 De Paul Dr
Ste 160
Bridgeton, MO 63044
Phone (314) 344-7101
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
13100 Manchester Rd
Ste 155
Saint Louis, MO 63131
Phone (314) 394-1171
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Professional Counselor
- Saint Louis, MO
- NPI 1952650442
-
dba SSM Health DePaul Hospital
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1881207264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 MANCHESTER RD STE 155",
"city": "DES PERES",
"state": "MO",
"postal_code": "631311703",
"telephone_number": "314-394-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 MANCHESTER RD STE 155",
"city": "DES PERES",
"state": "MO",
"postal_code": "631311703",
"telephone_number": "314-394-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "KENYATTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Peres, MO
- Brian C Chapin, PLPC
- Chesterfield Counseling and Training Associates Inc. (Chesterfield Counseling Associates)
- City of Des Peres
- Clarkson Optometry Inc (Clarkson Eyecare)
- Anthony John Colaneri, D.C.
- Ryan Edward Cooley, PTA
- Izaak Coscia, LMT
- Nicholas Austin Crabill, PHARMD
- Kathryn Elizabeth Cross, DPT
- Kelsey Cunningham, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.