Lindsey De Jong, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2013004021 Issued in MO

Practice address

478 Covenant LN
Saint Louis, MO 63141-8629

Phone

(314) 717-1265

NPI assigned

Nov 26, 2017

Last updated

Nov 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 8, 2026 through Jun 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511654400000",
    "number": "1891209177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 ALAMO AVE",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053151",
            "telephone_number": "239-357-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 COVENANT LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418629",
            "telephone_number": "314-717-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JONG",
        "first_name": "LINDSEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2013004021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Sales De Bruin, MD
• Gilson De Cavalcante Almeida, MD
• Alejandro Jose De Filippis Falcon, MD
• Angelica De Freitas, MD
• Erin Nicole De Guzman, PMHNP
• Jude Elliot De la Graves, B.A.
• Michael G De la Paz, MD
• Lisa De Las Fuentes, MD
• Victoria Carmen De Leon, MD
• Jennifer Lynne De Los Santos, MD

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.