Individual provider Active NPI

Emilie J Paterson, MA, LPC

  • Professional Counselor
  • Saint Charles, MO
National Provider Identifier
1881310084
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021039444 Issued in MO
Practice address
400 N 5TH St Ste 201
Saint Charles, MO 63301-1808
Phone
(636) 277-9890
NPI assigned
Oct 18, 2022
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 NU
Professional Counselor 101YP2500X 2021039444 MO Primary

Addresses

Primary practice location

400 N 5TH St Ste 201
Saint Charles, MO 63301-1808

Mailing address

362 Scarsdale Cir
Lake Ozark, MO 65049-5403
Phone (205) 531-8347

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
I20240819002510 MO Practitioner - Mental Health Counselor 3971041112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A W Stevenson LLCGroup PAC ID 8628437092, 17 clinicians

Practice addresses (Care Compare)

400 N 5TH St
201 Ellie Mental Health
Saint Charles, MO 63301-1808
Phone (636) 238-2615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Mental Wellness, LLC Multi-Specialty CurrentSince Dec 4, 2025 Accepting new patients
A W Stevenson LLC Professional CurrentSince Jun 30, 2024 Accepting new patients

Locations

400 N 5th St
Ste 201
Saint Charles, MO 63301
Phone (636) 238-2615

121 Hunter Ave
Ste 202
Saint Louis, MO 63124
Phone (314) 471-1612

237 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 202-1412

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1881310084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 SCARSDALE CIR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650495403",
            "telephone_number": "205-531-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 5TH ST STE 201",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011808",
            "telephone_number": "636-277-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERSON",
        "first_name": "EMILIE",
        "middle_name": "J",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021039444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.