Individual provider Active NPI

Louise Kaufman-Yavitz, MS,LPC,LCSW

  • Specialist
  • Saint Louis, MO
National Provider Identifier
1891802534
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LPC 00431 Issued in MO
Practice address
8 Graybridge LN
Saint Louis, MO 63124-1716
Phone
(314) 369-4637
Fax
(314) 997-5716
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LCSW 000446 MO
Specialist 174400000X LPC 00431 MO Primary

Addresses

Primary practice location

8 Graybridge LN
Saint Louis, MO 63124-1716

Mailing address

8 Graybridge LN
Saint Louis, MO 63124-1716
Phone (314) 369-4637

Other identifiers 2

IdentifierTypeStateIssuer
493262117MedicaidMO
753262104MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000233 MO Practitioner - Clinical Social Worker 4789841875 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Saint Louis, MO 63124
Phone (314) 369-4637

1121 Olivette Executive Pkwy
Suite 210
St Louis, MO 63132-3254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCSW 000446MOMDSpecialist
LPC 00431MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Art Maines, LCSW LLC Past 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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1891802534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GRAYBRIDGE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241716",
            "telephone_number": "314-369-4637",
            "fax_number": "314-997-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GRAYBRIDGE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241716",
            "telephone_number": "314-369-4637",
            "fax_number": "314-997-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN-YAVITZ",
        "first_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MS,LPC,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "LCSW 000446",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "LPC 00431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493262117",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "753262104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.