Active NPI
Stephanie Erin Malzahn
- Marriage & Family Therapist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2018031088
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhill Counseling and Consultation, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Nystrom Counseling Mo, PC | Past | 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.
-
- Marriage & Family Therapist
- O'Fallon, MO
- NPI 1992174759
-
dba Sagent Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- O'Fallon, MO
- NPI 1184401762
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.