Individual provider Active NPI

Adhanet M Zereabruk, M.A. LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1891063376
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2011039635 Issued in MO
Practice address
2852 Lafayette Ave
Saint Louis, MO 63104-2039
Phone
(314) 546-0307
Fax
(314) 442-4084
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 2011039635 MO Primary

Addresses

Primary practice location

2852 Lafayette Ave
Saint Louis, MO 63104-2039

Mailing address

PO Box 21741
Saint Louis, MO 63109-0741
Phone (314) 546-0307

Other practice location 1

1220 N Lindbergh Blvd
Saint Louis, MO 63132-1704
Phone (314) 989-9727

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 Arts

State licenses

LicenseStateTypeSpecialty
2011039635MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Children's Homes and Services PastSince Mar 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1891063376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21741",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631090741",
            "telephone_number": "314-546-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 LAFAYETTE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042039",
            "telephone_number": "314-546-0307",
            "fax_number": "314-442-4084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 N Lindbergh Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631321704",
            "country_code": "US",
            "telephone_number": "314-989-9727",
            "fax_number": "314-989-9709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEREABRUK",
        "first_name": "ADHANET",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011039635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.