Individual provider Active NPI

Tresha Watson, PLPC

  • Mental Health Counselor
  • Saint Ann, MO
National Provider Identifier
1932945656
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2024008814 Issued in MO
Practice address
10828 Saint Charles Rock Rd
Saint Ann, MO 63074-1508
Phone
(314) 368-2409
Fax
(314) 442-4139
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 2024008814 MO Primary

Addresses

Primary practice location

10828 Saint Charles Rock Rd
Saint Ann, MO 63074-1508

Mailing address

523 Sapphire Dr
O Fallon, MO 63366-1889
Phone (314) 368-2409

Other identifiers 1

IdentifierTypeStateIssuer
2024008814OtherMOLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://changestherapeutics.clientsecure.me/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024008814MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Therapeutics Services CurrentSince Jul 7, 2024 Accepting new patients

Locations

10828 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 368-2409

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1932945656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 SAPPHIRE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661889",
            "telephone_number": "314-368-2409",
            "fax_number": "314-442-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 SAINT CHARLES ROCK RD",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630741508",
            "telephone_number": "314-368-2409",
            "fax_number": "314-442-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TRESHA",
        "name_prefix": "Mrs.",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2024008814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2024008814",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://changestherapeutics.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "10828 Saint Charles Rock Rd",
            "city": "Saint Ann",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630741508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Ann, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.