Individual provider Active NPI

Tiffany M Pargo, LPC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1992030027
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20080112294 Issued in MO
Practice address
10514 Byfield Dr
Saint Louis, MO 63137
Phone
(314) 869-4705
Fax
(314) 869-4705
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 20080112294 MO Primary

Addresses

Primary practice location

10514 Byfield Dr
Saint Louis, MO 63137

Mailing address

10514 Byfield Dr
Saint Louis, MO 63137-2235
Phone (314) 869-4705

Other practice location 1

102 Compass Point Dr
Saint Charles, MO 63301-4404
Phone (636) 946-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 25, 2025 through Jul 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20080112294MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kezia E Coleman PSYD LLC PastSince Sep 24, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1992030027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10514 BYFIELD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631372235",
            "telephone_number": "314-869-4705",
            "fax_number": "314-869-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 BYFIELD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63137",
            "telephone_number": "314-869-4705",
            "fax_number": "314-869-4705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Compass Point Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014404",
            "country_code": "US",
            "telephone_number": "636-946-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARGO",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "20080112294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.