Individual provider Active NPI

Jean Deasy, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1942951579
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2019047947 Issued in MO
Practice address
10805 Sunset Office Dr Ste 201
Saint Louis, MO 63127-1026
Phone
(314) 675-8337
Fax
(314) 627-1538
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2019047947 MO Primary

Addresses

Primary practice location

10805 Sunset Office Dr Ste 201
Saint Louis, MO 63127-1026

Mailing address

10805 Sunset Office Dr Ste 201
Saint Louis, MO 63127-1026
Phone (314) 675-8337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 7, 2024 through Mar 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2019047947MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Buchheit Counseling LLC Professional CurrentSince May 12, 2024 Accepting new patients

Locations

10805 Sunset Office Dr
Ste 201
Saint Louis, MO 63127
Phone (314) 591-0273

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1942951579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 SUNSET OFFICE DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271026",
            "telephone_number": "314-675-8337",
            "fax_number": "314-627-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 SUNSET OFFICE DR STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271026",
            "telephone_number": "314-675-8337",
            "fax_number": "314-627-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASY",
        "first_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2019047947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.