DR. SHANNON NICOLE LENZE (NPI# 1447553441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447553441 |
| Entity Type | Individual |
| Full Name | DR. SHANNON NICOLE LENZE |
| Credential | PSYD |
| Practice Address |
4444 Forest Park Ave Ste 2600 Saint Louis MO 63108-2212 |
| Mailing Address |
660 S Euclid Ave Cb 8134 Saint Louis MO 63110-1010 |
| Practice Telephone | 3142861700 |
| Practice Fax Number | 3142861799 |
| Mailing Telephone | 3142861700 |
| Mailing Fax Number | 3142861777 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2008016949 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1447553441 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922518315 | Shannon Nicole Lenze | Counselor | 427 N Saint Marys St, Saint Marys, PA 15857-3657 | 2017-10-11 |
| Street Address |
4444 FOREST PARK AVE STE 2600 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518912443 | Carey Holleran | Physical Therapist | 4444 Forest Park Ave, Saint Louis, MO 63108-2212 | 2006-05-22 |
| 1215542352 | Aubrey Grace Masterson | Physical Therapist | 4444 Forest Park Ave, Saint Louis, MO 63108-2212 | 2020-09-15 |
| 1023623329 | Monica Lynde | Physical Therapist | 4444 Forest Park Ave, Saint Louis, MO 63108-2212 | 2020-09-14 |
| 1952929127 | Jamie Michaela Ockner | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2020-07-13 |
| 1710533625 | Kyle Ball | Physical Therapist | 4444 Forest Park Ave, Saint Louis, MO 63108-2212 | 2019-08-15 |
| 1558913756 | Anneka Leah Teerlinck | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2019-07-09 |
| 1790343283 | Colleen Nicole Lind | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2019-05-30 |
| 1154989648 | Robert Wayne Lind | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2019-05-30 |
| 1003473786 | Danielle Marie Buchanan | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2019-05-28 |
| 1154985307 | Jeanne E Earley | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1265944466 | Brittany Jacobson | Psychologist | 1 Jefferson Barracks Rd # 116b, Saint Louis, MO 63125-4181 | 2017-10-27 |
| 1801316690 | David Howard Morris | Psychologist | 4921 Parkview Pl # 90-35703, Saint Louis, MO 63110-1032 | 2017-06-22 |
| 1144774647 | Carolyn Ashley Myles Versical | Psychologist | 26 Godwin Ln, Saint Louis, MO 63124 | 2016-08-12 |
| 1376980326 | Joshua Paul Beaman-kogan | Psychologist | 1 University Blvd # 232, Stadler Hall, Saint Louis, MO 63121-4400 | 2013-05-31 |
| 1104176064 | Brooke Kraushaar,psy.d,llc | Psychologist | 6321 Alamo Ave, Saint Louis, MO 63105-3103 | 2012-09-18 |
| 1326335837 | Jeremiah Weinstock | Psychologist | 3511 Laclede Ave, Shannon Hall, Room 208, Saint Louis, MO 63103-2010 | 2011-07-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on DR. SHANNON NICOLE LENZE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.