Individual provider Active NPI

Rahul Mehta, LPC, MS, NCC

  • Professional Counselor
  • Saint Peters, MO
National Provider Identifier
1881353654
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021047033 Issued in MO
Practice address
2705 Saint Peters Howell Rd Ste D
Saint Peters, MO 63376-2821
Phone
(636) 346-6788
NPI assigned
Dec 9, 2021
Last updated
Dec 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021047033 MO Primary

Addresses

Primary practice location

2705 Saint Peters Howell Rd Ste D
Saint Peters, MO 63376-2821

Mailing address

310 Chalmers St
Saint Peters, MO 63376-2417
Phone (636) 346-6788

Other practice location 1

310 Chalmers St
Saint Peters, MO 63376-2417
Phone (636) 346-6788

Other identifiers 1

IdentifierTypeStateIssuer
2021047033OtherMOMISSOURI DIVISION OF PROFESSIONAL REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rahul@cozychaircounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2021047033MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1881353654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHALMERS ST",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762417",
            "telephone_number": "636-346-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 SAINT PETERS HOWELL RD STE D",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762821",
            "telephone_number": "636-346-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Chalmers St",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633762417",
            "country_code": "US",
            "telephone_number": "636-346-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAHUL",
        "credential": "LPC, MS, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021047033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "2021047033",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rahul@cozychaircounseling.com",
            "affiliation": "N",
            "endpointDescription": "Secure Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2705 Saint Peters Howell Rd Ste C",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633762821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.