PENELOPE KARLA DURBAN LPC NPI 1518074657

NPI Information

NPI: 1518074657
Provider Name: PENELOPE KARLA DURBAN, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
14323 SOUTH OUTER 40
SUITE 607 SOUTH
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 275-2500
Get Directions

Penelope Karla Durban, LPC is a mental health counselor in Chesterfield, MO. Penelope Karla Durban, LPC NPI is 1518074657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14323 SOUTH OUTER 40
SUITE 607 SOUTH
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 275-2500
Fax: (314) 275-7773

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	CS000045	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	215041	OTHER		PHCS
2	39171	OTHER		GHP CMR
3	113652	OTHER	MISSOURI	BLUE CROSS
4	147764	OTHER		VALUE OPTION
5	007981	OTHER		VENDOR ID
6	6269110	OTHER		UBH
7	0004212729	OTHER		AETNA
8	021679	OTHER		VMC BEHAVIORAL
9	1071212	OTHER		CIGNA
10	100167	OTHER		MANAGED HEALTH NETWORK
11	11257320	OTHER		CAQH
12	120767	OTHER		COMPSYCH
13	IP289560	OTHER		MAGELLAN
14	212591	OTHER		HEALTHLINK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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