Magnolia Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MAGNOLIA COUNSELING LLC

Practice address

3817 Raymond Ave
Bridgeton, MO 63044-2932

Phone

(314) 623-4272

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Wells

Title

Office Manager

Phone

(630) 235-3423

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabrina May Heidemann-Wells, MA, LPC

  • Professional Counselor
  • Bridgeton, MO
  • NPI 1497919781
  NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1912662396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 RAYMOND AVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442932",
            "telephone_number": "314-623-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 RAYMOND AVE",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442932",
            "telephone_number": "314-623-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-235-3423",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://magnoliacounselingllc.theranest.com",
            "affiliation": "N",
            "address_1": "3817 Raymond Ave",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jillian Lynum
• Matthew B Lytle, D.C.
• Abigail Machens, DPT
• Emily Christine Machens, FNP
• Doan Mackenzie, PT, DPT
• Barbara Magrew, ANP.
• Mary Jane Maguire, MOT
• Siyanna Mahan, LMSW
• Karen Mainzer, OTR L CHT
• Angela Renee Majino, MD

• Counselor in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.