Linda R Partridge, PH.D.
Individual provider Active NPI Professional Counselor · Ofallon, MO
NPI 1992919872 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992919872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 000554 (MO)
- Practice address
- 120D Ofallon Plaza
Ofallon, MO 63366 - Phone
- (636) 240-2240
- Fax
- (636) 980-2029
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 30, 2024 through Apr 30, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000554 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000554 | MO | Yes |
Addresses
Primary practice location
120D Ofallon Plaza
Ofallon, MO 63366
Mailing address
120D Ofallon Plaza
Ofallon, MO 63366
Phone (636) 240-2240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11333568 | Other | MO | CAQH PROVIDER ID |
Other providers in Ofallon, MO
- Catherine Rose Most
- Sarah Marie Mudd
- Padmini R Muddasani
- National Vision Inc
- Outreach Specialty Physicians LLC
- Physician Groups LC
- Physician Groups LC
- John Wayne Platt
- Jennifer A. Plessner
- Progress West Healthcare Center
All providers in Ofallon, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.