MR. TIM DUANE BIZELLI NPI 1285807222

NPI Information

  • NPI: 1285807222
  • Provider Name: MR. TIM DUANE BIZELLI
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 JUNGERMANN RD
    STE 308
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (636) 345-1106

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NPI Details

MR. Tim Duane Bizelli is a professional counselor in Saint Peters, MO with 21 years of experience. MR. Tim Duane Bizelli NPI is 1285807222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 JUNGERMANN RD
STE 308
SAINT PETERS, MO
ZIP 63376-775
Phone: (636) 345-1106
Fax: (636) 447-4640

The NPI 1285807222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/10/2008.

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
1101YP2500XCounselorProfessional2005038700MISSOURIYes

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
1494044407MEDICAIDMISSOURI

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: 11/21/2025

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