Individual provider Active NPI

Christina Melin Larrigan, LCSW

  • Clinical Social Worker
  • Weldon Spring, MO
National Provider Identifier
1992833545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2004030919 Issued in MO
Practice address
1120 Wolfrum Rd
Sutie 201, Room 204
Weldon Spring, MO 63304-7898
Phone
(636) 442-5674
Fax
(636) 442-5601
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2004030919 MO Primary

Addresses

Primary practice location

1120 Wolfrum Rd
Sutie 201, Room 204
Weldon Spring, MO 63304-7898

Mailing address

212 Brougham Dr
O Fallon, MO 63368-8002
Phone (636) 244-8708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000417 MO Practitioner - Clinical Social Worker 4486745254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Counseling, LLCGroup PAC ID 2062598600, 10 clinicians

Practice addresses (Care Compare)

1284 Jungermann Rd
Saint Peters, MO 63376-6966
Phone (636) 498-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Counseling, LLC Clinical CurrentSince Sep 27, 2012 Accepting new patients
Westplex Counseling, LLC Clinical PastSince Jul 2, 2007 Accepting new patients
Serenity Counseling Services LLC Clinical Past Accepting new patients

Locations

1286 Jungermann Rd
Ste G
Saint Peters, MO 63376
Phone (636) 498-0700

1284 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 498-0700

Organizations & group practices 3

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992833545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BROUGHAM DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688002",
            "telephone_number": "636-244-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WOLFRUM RD",
            "address_2": "SUTIE 201, ROOM 204",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047898",
            "telephone_number": "636-442-5674",
            "fax_number": "636-442-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIGAN",
        "first_name": "CHRISTINA",
        "middle_name": "MELIN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004030919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

Verify at the official NPI Registry.