1396051124 NPI number — MRS. MEGAN HELWIG MA, LPC

Table of content: MRS. MEGAN HELWIG MA, LPC (NPI 1396051124)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396051124 NPI number — MRS. MEGAN HELWIG MA, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HELWIG
Provider First Name:
MEGAN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DIAZ
Provider Other First Name:
MEGAN
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1396051124
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
255 SPENCER RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT PETERS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63376-2574
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-477-6111
Provider Business Mailing Address Fax Number:
636-928-0366

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
255 SPENCER RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT PETERS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63376-2574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-477-6111
Provider Business Practice Location Address Fax Number:
636-928-0366
Provider Enumeration Date:
08/31/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2014026401 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2014026401 . This is a "PROFESSIONAL COUNSELING LICENSE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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