Individual provider Active NPI

Stephanie Diane Hanneken, M.A, L.P.C

  • Professional Counselor
  • Chesterfield, MO
National Provider Identifier
1942551759
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2012032155 Issued in MO
Practice address
16020 Swingley Ridge Rd Ste 305
Chesterfield, MO 63017-2085
Phone
(314) 252-8683
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2012032155 MO
Professional Counselor 101YP2500X LPC-18512 AZ
Professional Counselor 101YP2500X 2012032155 MO Primary

Addresses

Primary practice location

16020 Swingley Ridge Rd Ste 305
Chesterfield, MO 63017-2085

Mailing address

16020 Swingley Ridge Rd Ste 305
Chesterfield, MO 63017-2085
Phone (314) 252-8683

Other practice location 1

8687 E Via De Ventura Ste 307
Scottsdale, AZ 85258-3351
Phone (314) 252-8683

Other names 1

  • Stephanie Diane Robertson Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-18512AZMDProfessional Counselor
2012032155MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Change Counseling LLC Professional PastSince Aug 10, 2025 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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1942551759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 SWINGLEY RIDGE RD STE 305",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172085",
            "telephone_number": "314-252-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 SWINGLEY RIDGE RD STE 305",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172085",
            "telephone_number": "314-252-8683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8687 E Via De Ventura Ste 307",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852583351",
            "country_code": "US",
            "telephone_number": "314-252-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNEKEN",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "credential": "M.A, L.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2012032155",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18512",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012032155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ROBERTSON",
            "middle_name": "DIANE",
            "credential": "M.A, P.L.P.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

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

Verify at the official NPI Registry.