Individual provider Active NPI

Stephanie Erin Malzahn

  • Marriage & Family Therapist
  • Saint Louis, MO
National Provider Identifier
1891136206
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2018031088 Issued in MO
Practice address
13303 Tesson Ferry Rd Ste 50
Saint Louis, MO 63128-4062
Phone
(636) 379-1779
Fax
(636) 634-3496
NPI assigned
Jul 14, 2013
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2018031088 MO Primary

Addresses

Primary practice location

13303 Tesson Ferry Rd Ste 50
Saint Louis, MO 63128-4062

Mailing address

801 Woodlawn Ave Ste 15
O Fallon, MO 63366-7647
Phone (636) 379-1779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

121 Hunter Ave
Suite 202
Clayton, MO 63124-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhill Counseling and Consultation, LLC Marriage & Family Therapist CurrentSince Aug 28, 2022 Accepting new patients
Nystrom Counseling Mo, PC PastSince Sep 10, 2023 Accepting new patients

Locations

801 S Woodlawn Ave
Ste 15
O Fallon, MO 63366
Phone (636) 379-1779

13303 Tesson Ferry Rd
Ste 50
Saint Louis, MO 63128
Phone (314) 729-9995

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": "1373760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1891136206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WOODLAWN AVE STE 15",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633667647",
            "telephone_number": "636-379-1779",
            "fax_number": "636-634-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 TESSON FERRY RD STE 50",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284062",
            "telephone_number": "636-379-1779",
            "fax_number": "636-634-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALZAHN",
        "first_name": "STEPHANIE",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-14",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2018031088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.