Active NPI
Mia Lombardo, PLPC
- Professional Counselor
- Creve Coeur, MO
National Provider Identifier
1942182175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2025018463
- Practice address
- 12141 Ladue Rd
Creve Coeur, MO 63141-8120 - Phone
- (314) 898-0100
- Fax
- (314) 842-2552
- NPI assigned
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2025018463 | MO | Primary |
Addresses
Primary practice location
12141 Ladue Rd
Creve Coeur, MO 63141-8120
Mailing address
2650 Olive St
Saint Louis, MO 63103-1489
Phone (314) 371-6500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2025018463 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provident Inc. | Past | Accepting new patients | |
| Provident Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1043491020
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1710023791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1942182175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 OLIVE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031489",
"telephone_number": "314-371-6500",
"fax_number": "314-842-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12141 LADUE RD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631418120",
"telephone_number": "314-898-0100",
"fax_number": "314-842-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDO",
"first_name": "MIA",
"credential": "PLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2025018463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
- Bruce Jeffrey Lippmann, MD
- Thomas S Lipsitz, PHD
- Jennifer Renee Listenberger, AUD
- Pamela Ann Loesing, MSW LCSW
- Mariah Lyn Logan, LPC,LCPC
- Lori K Holcomb DMD PC
- Love Family Strong in Home Service, LLC
- Loving Arms Home Health Care LLC - in Home
- Loving Arms Home Health Care, LLC
- Loving Hands Hospice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.