Individual provider · Type 1 NPI

Marissa Kistner, M.ED., LPC

Counselor · Lake St. Louis, MO

NPI number 1750007399 Active

Practice location

1000 Edgewater Pt Ste 401-405
Lake St. Louis, MO 63367-2954

Mailing address

1000 Edgewater Point Drive
Lake St. Louis, MO 63367

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X2026004911 (MO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1750007399

Marissa Kistner, M.ED., LPC's National Provider Identifier is 1750007399, issued on Oct 17, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jul 24, 2026.