Individual provider · Type 1 NPI
Samuel Bearer, LPC
Professional Counselor · St. Louis, MO
NPI number
1306319694
Active
Practice location
6780 Southwest Ave Ste 2A
St. Louis, MO 63143-2624
Mailing address
824 Sanders Pl
St. Louis, MO 63126-1224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC.LH.70074588 (WA) |
| Professional Counselor | 101YP2500X | MHC.LH.70074588 (WA) |
| Counseling Psychologist | 103TC1900X | 2017028441 (MO) |
| Professional Counselor Primary | 101YP2500X | 2017028441 (MO) |
Professional Counselor: Definition to come...
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About NPI 1306319694
Samuel Bearer, LPC's National Provider Identifier is 1306319694, issued on Jan 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on May 28, 2026.