Active NPI
Michelle Denise Marshall, LPC
- Mental Health Counselor
- Webster Groves, MO
National Provider Identifier
1982811501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2003031566
- Practice address
- 110 N Elm Ave
Webster Groves, MO 63119-2418 - Phone
- (314) 222-4458
- Fax
- (314) 773-3663
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2003031566 | MO | Primary |
Addresses
Primary practice location
110 N Elm Ave
Webster Groves, MO 63119-2418
Mailing address
7510 Blanding Dr
Saint Louis, MO 63135-3410
Phone (314) 761-9288
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003031566 | MO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982811501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7510 BLANDING DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631353410",
"telephone_number": "314-761-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N ELM AVE",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631192418",
"telephone_number": "314-222-4458",
"fax_number": "314-773-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2003031566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Groves, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.