Individual provider Active NPI

Santianna J Clay, LPC

  • Mental Health Counselor
  • Saint Charles, MO
National Provider Identifier
1922834134
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2026006418 Issued in MO
Practice address
400 N 5TH St Ste 201
Saint Charles, MO 63301-1808
Phone
(636) 238-2615
NPI assigned
Sep 12, 2024
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2026006418 MO Primary

Addresses

Primary practice location

400 N 5TH St Ste 201
Saint Charles, MO 63301-1808

Mailing address

9608 Duluth Dr
Saint Louis, MO 63137-1348
Phone (314) 280-5044

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
I20260219001004 MO Practitioner - Mental Health Counselor 8628558467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 N 5TH St
Suite 201
Saint Charles, MO 63301-1808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026006418MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC Professional CurrentSince Feb 1, 2026 Accepting new patients

Locations

1310 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 277-9890

400 N 5th St
Ste 201
Saint Charles, MO 63301
Phone (636) 238-2615

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, 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": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1922834134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 DULUTH DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371348",
            "telephone_number": "314-280-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 5TH ST STE 201",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011808",
            "telephone_number": "636-238-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "SANTIANNA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2026006418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.