Individual provider Active NPI

Laura Vintes

  • Professional Counselor
  • Clayton, MO
National Provider Identifier
1972198232
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021006574 Issued in MO
Practice address
8008 Carondelet Ave Ste 308
Clayton, MO 63105-1724
Phone
(618) 795-0639
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 2021006574 MO Primary

Addresses

Primary practice location

8008 Carondelet Ave Ste 308
Clayton, MO 63105-1724

Mailing address

713 Willow Spring Hill Dr
Fairview Heights, IL 62208-2069
Phone (618) 795-0639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251115000378 MO Practitioner - Mental Health Counselor 6305337585 Reassigns benefits to 1 organization
I20251120001477 IL Practitioner - Mental Health Counselor 6305337585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 S Northwest Hwy
Suite 302
Park Ridge, IL 60068-4262

66 E Flagler St
Miami, FL 33130-1807

9024 Karlov Ave
Skokie, IL 60076-1716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021006574MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Oct 14, 2025 Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1972198232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 WILLOW SPRING HILL DR",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082069",
            "telephone_number": "618-795-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 CARONDELET AVE STE 308",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051724",
            "telephone_number": "618-795-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINTES",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021006574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.