Individual provider Active NPI

Jarrece Denae Patrick, MA

  • Professional Counselor
  • Florissant, MO
National Provider Identifier
1962077826
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025041265 Issued in MO
Practice address
1150 Graham Rd
Florissant, MO 63031-8077
Phone
(314) 744-1822
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2025041265 MO Primary

Addresses

Primary practice location

1150 Graham Rd
Florissant, MO 63031-8077

Mailing address

1430 Olive St Ste 400
Saint Louis, MO 63103-2303
Phone (314) 744-1822

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
I20251112000250 MO Practitioner - Mental Health Counselor 4486145000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BJC Behavioral HealthGroup PAC ID 1153225271, shared by 2 NPIs, 63 clinicians

Practice addresses (Care Compare)

1085 Maple St
Farmington, MO 63640-1955
Phone (573) 756-5353

1150 Graham Rd
Suite 101And102
Florissant, MO 63031-8077
Phone (314) 206-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2025041265MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BJC Behavioral Health CurrentSince Nov 12, 2025 Accepting new patients
BJC Behavioral Health CurrentSince Nov 12, 2025 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Oct 7, 2025 Accepting new patients

Locations

1085 Maple St
Farmington, MO 63640
Phone (573) 756-5353

1150 Graham Rd
Ste 101102
Florissant, MO 63031
Phone (314) 337-3647

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

3309 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 534-9350

1430 Olive St
Ste 400
Saint Louis, MO 63103

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1962077826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 OLIVE ST STE 400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631032303",
            "telephone_number": "314-744-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318077",
            "telephone_number": "314-744-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "JARRECE",
        "middle_name": "DENAE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025041265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.