Individual provider Active NPI

Brenda Sue Melton, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1982740452
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001828 Issued in MO
Practice address
7711 Kenridge LN
Saint Louis, MO 63119-4307
Phone
(314) 808-2382
Fax
(341) 395-8433
NPI assigned
Jan 30, 2007
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 001828 MO Primary

Addresses

Primary practice location

7711 Kenridge LN
Saint Louis, MO 63119-4307

Mailing address

7711 Kenridge LN
Saint Louis, MO 63119-4307
Phone (314) 808-2382

Other practice location 1

2510 S Brentwood Blvd Ste 207
Saint Louis, MO 63144-2326
Phone (314) 808-2382

Other names 1

  • Dr. Brenda Sue Potz Kieffer 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

State licenses

LicenseStateTypeSpecialty
001828MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Beyond, LLC Professional Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1982740452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 KENRIDGE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194307",
            "telephone_number": "314-808-2382",
            "fax_number": "314-395-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 KENRIDGE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194307",
            "telephone_number": "314-808-2382",
            "fax_number": "341-395-8433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 S Brentwood Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442326",
            "country_code": "US",
            "telephone_number": "314-808-2382",
            "fax_number": "314-395-8433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTON",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "001828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "POTZ KIEFFER",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.