Individual provider Active NPI

Macie Roorda, M.ED., LPC

  • Mental Health Counselor
  • Lake St Louis, MO
National Provider Identifier
1982389227
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1310 HRC Plaza Dr
Lake St Louis, MO 63367-1869
Phone
(636) 339-4475
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1310 HRC Plaza Dr
Lake St Louis, MO 63367-1869

Mailing address

15480 Clayton Rd Ste 302
Ballwin, MO 63011-3172
Phone (314) 400-9790

Other practice location 1

15480 Clayton Rd Ste 302
Ballwin, MO 63011-3172
Phone (314) 400-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
A W Stevenson LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

1310 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (636) 277-9890

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1982389227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 CLAYTON RD STE 302",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113172",
            "telephone_number": "314-400-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HRC PLAZA DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671869",
            "telephone_number": "636-339-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15480 Clayton Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630113172",
            "country_code": "US",
            "telephone_number": "314-400-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROORDA",
        "first_name": "MACIE",
        "credential": "M.ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.