Daniel Stephen Teater, LPC, M.DIV, MAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2012029760 Issued in MO

Practice address

11780 Borman Dr
Saint Louis, MO 63146-4135

Phone

(314) 479-9028

Fax

(866) 387-2869

NPI assigned

Mar 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 11, 2025 through Dec 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Live at Peace Ministries

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1932590510
  NPD (past)

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1992263248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 WATERMAN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121517",
            "telephone_number": "314-518-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 BORMAN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464135",
            "telephone_number": "314-479-9028",
            "fax_number": "866-387-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEATER",
        "first_name": "DANIEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LPC, M.DIV, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2012029760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TD Legacy Home Care LLC
• Olivia Joy Teal, LMSW, BCBA, LBA
• Team Health Chiropractic, LLC
• Team Select Home Care of Missouri, Inc.
• Melissa Ann Teasley, LPC
• Kenneth Ray Teater, DC
• Debra Ann Tebbe, RN
• Renu Teckchandani, M.D
• Jeffrey Teckman, MD
• Eritrea Michael Tecletsion, D.C.

• Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.